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巨大肾上腺神经鞘瘤:一种罕见的肾上腺肿瘤,常被误诊为肾上腺皮质癌。

Huge adrenal schwannoma: a rare type of adrenal tumor, misconceived as adrenocortical carcinoma.

作者信息

Han Jeong Hee, Lee Byoung Chul, Park Young Mok, Jung Hyuk Jae, Choi Jung Bum

机构信息

Department of Surgery, Pusan National University Hospital, Busan, SouthKorea.

出版信息

J Surg Case Rep. 2022 Dec 7;2022(12):rjac562. doi: 10.1093/jscr/rjac562. eCollection 2022 Dec.

Abstract

Schwannoma is a benign and uncommon neoplasm arising from the neural crest cells. The most common tumor sites are the skin and subcutaneous tissue of the head and neck. Retroperitoneal schwannomas account for 1-3% of all schwannomas and are predominantly female. In particular, adrenal schwannoma is very rare, and due to its large size at the time of diagnosis, adrenal schwannoma is frequently misdiagnosed as adrenocortical carcinoma or pheochromocytoma. Adrenal schwannoma is difficult to distinguish it from other adrenal diseases based on imaging findings alone. In this report, we introduce the case of a huge left adrenal schwannoma.

摘要

神经鞘瘤是一种起源于神经嵴细胞的良性且不常见的肿瘤。最常见的肿瘤部位是头颈部的皮肤和皮下组织。腹膜后神经鞘瘤占所有神经鞘瘤的1% - 3%,且以女性为主。特别是肾上腺神经鞘瘤非常罕见,并且由于其在诊断时体积较大,肾上腺神经鞘瘤常被误诊为肾上腺皮质癌或嗜铬细胞瘤。仅根据影像学表现很难将肾上腺神经鞘瘤与其他肾上腺疾病区分开来。在本报告中,我们介绍一例巨大的左肾上腺神经鞘瘤病例。

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