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十二指肠降部神经内分泌肿瘤合并神经鞘瘤:一例报告

Neuroendocrine tumour of the descending part of the duodenum complicated with schwannoma: A case report.

作者信息

Zhang Lu, Zhang Chi, Feng Shu-Yan, Ma Pan-Pan, Zhang Shuo, Wang Qian-Qian

机构信息

Department of Gastroenterology, The First Affiliated Hospital, Zhejiang Chinese Medical University, Hangzhou 310006, Zhejiang Province, China.

出版信息

World J Clin Cases. 2022 Jun 16;10(17):5770-5775. doi: 10.12998/wjcc.v10.i17.5770.

DOI:10.12998/wjcc.v10.i17.5770
PMID:35979113
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9258379/
Abstract

BACKGROUND

No known case of neuroendocrine tumour (NET) with schwannoma has been reported.

CASE SUMMARY

A 63-year-old female presented to our hospital with nausea and vomiting. Upper gastrointestinal endoscopy revealed a mass in the descending part of the duodenum. Using ultrasound gastroscopy, we found that the tumour originated from the submucosa and showed low echo. We removed the tumour by electrocoagulation and sent it for pathological biopsy.

CONCLUSION

Immunohistochemical results showed that the mass was a rare NET with neurilemmoma.

摘要

背景

尚无神经内分泌肿瘤(NET)合并神经鞘瘤的已知病例报道。

病例摘要

一名63岁女性因恶心、呕吐前来我院就诊。上消化道内镜检查发现十二指肠降部有一肿物。经超声胃镜检查,发现该肿瘤起源于黏膜下层,呈低回声。我们通过电凝切除了肿瘤并送去做病理活检。

结论

免疫组化结果显示该肿物是一种罕见的合并神经鞘瘤的神经内分泌肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/8f009fa4a23d/WJCC-10-5770-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/7b20857ab767/WJCC-10-5770-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/d8573e25db22/WJCC-10-5770-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/3732bd043abd/WJCC-10-5770-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/8f009fa4a23d/WJCC-10-5770-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/7b20857ab767/WJCC-10-5770-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/d8573e25db22/WJCC-10-5770-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/3732bd043abd/WJCC-10-5770-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68ae/9258379/8f009fa4a23d/WJCC-10-5770-g004.jpg

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本文引用的文献

1
Duodenal schwannoma, an infrequent entity.十二指肠神经鞘瘤,一种不常见的实体瘤。
Rev Esp Enferm Dig. 2021 Jul;113(7):548-549. doi: 10.17235/reed.2020.7371/2020.
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Gastrointestinal: Schwannoma of the duodenum.胃肠道:十二指肠神经鞘瘤。
J Gastroenterol Hepatol. 2020 Nov;35(11):1855. doi: 10.1111/jgh.15075. Epub 2020 May 11.
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Immunohistochemistry in the diagnosis and classification of neuroendocrine neoplasms: what can brown do for you?免疫组织化学在神经内分泌肿瘤的诊断和分类中的应用:棕色能为你做些什么?
Hum Pathol. 2020 Feb;96:8-33. doi: 10.1016/j.humpath.2019.12.002. Epub 2019 Dec 17.
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Early Gastroenteropancreatic Neuroendocrine Tumors: Endoscopic Therapy and Surveillance.早期胃肠胰神经内分泌肿瘤:内镜治疗与监测
Visc Med. 2017 Oct;33(5):332-338. doi: 10.1159/000459404. Epub 2017 Oct 10.
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Nothing But NET: A Review of Neuroendocrine Tumors and Carcinomas.唯有 NET:神经内分泌肿瘤和癌综述。
Neoplasia. 2017 Dec;19(12):991-1002. doi: 10.1016/j.neo.2017.09.002. Epub 2017 Nov 5.
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Effectiveness of Endoscopic Treatment for Gastrointestinal Neuroendocrine Tumors: A Retrospective Study.内镜治疗胃肠道神经内分泌肿瘤的疗效:一项回顾性研究。
Medicine (Baltimore). 2016 Apr;95(15):e3308. doi: 10.1097/MD.0000000000003308.
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Hegemony and cost-effectiveness of endoscopic ultrasound (EUS) in the field of gastroenteropancreatic-neuroendocrine tumors (GEP-NETs).内镜超声(EUS)在胃肠胰神经内分泌肿瘤(GEP-NETs)领域的主导地位及成本效益
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