Azienda ULSS 6 Euganea, Cittadella, Italy
Gynecology, Azienda ULSS 6 Euganea, Cittadella, Italy.
BMJ Case Rep. 2022 Aug 2;15(8):e250951. doi: 10.1136/bcr-2022-250951.
We describe the case of a woman in her 50s with abdominal pelvic masses suspected to be an ovarian lesion with metastases. At laparoscopy, it appeared as a possible abdominal location of neurofibromatosis type 1 (NF-1). A 50 cm of small bowel was resected to remove multiple nodular lesions. On histopathology, small bowel lesions (n=14) were all classified as GISTs. Clinicians should recognise and consider gastrointestinal manifestations of NF-1 in the diagnostic flow chart. Surgical treatment may resolve symptomatic cases and prevent local infiltration or malignant degeneration of abdominal neoplasms occurring in patients with NF-1.
我们描述了一位 50 多岁女性的病例，她的腹部盆腔有肿块，疑似为卵巢病变伴转移。腹腔镜检查时，病变疑似为神经纤维瘤病 1 型（NF-1）的一种可能腹部表现。切除了 50 厘米的小肠，以去除多个结节性病变。组织病理学检查显示，小肠病变（n=14）均被归类为 GISTs。临床医生应在诊断流程图中识别并考虑 NF-1 的胃肠道表现。手术治疗可能会解决有症状的病例，并防止 NF-1 患者发生的腹部肿瘤的局部浸润或恶性转化。
