Pereira Diogo, Costa Gabriel, Catarino Raquel, Correia Tiago, Prisco Rui
Urology, Hospital Pedro Hispano, Matosinhos, PRT.
Cureus. 2022 Dec 27;14(12):e32986. doi: 10.7759/cureus.32986. eCollection 2022 Dec.
Seminal vesicle neoplasms are extremely rare. Schwannoma is a benign tumor of the peripherical nerve sheath composed of Schwann cells. Most of these tumors are silent and become symptomatic with compression of adjacent organs and nerves. We present a case of a 72-year-old man who presented with a several months history of predominant storage lower urinary tract symptoms and painful ejaculation. Prostate-specific antigen (PSA) was within normal ranges, and imaging documented a retrovesical nodular lesion adjacent to the right seminal vesicle with 5 cm in width. We successfully performed a robotic-assisted laparoscopic surgery to excise the lesion. Anatomopathological analysis revealed a schwannoma.
精囊肿瘤极为罕见。施万细胞瘤是一种由施万细胞组成的周围神经鞘良性肿瘤。这些肿瘤大多无症状，因压迫相邻器官和神经而出现症状。我们报告一例72岁男性，有几个月以储尿期为主的下尿路症状和射精疼痛病史。前列腺特异性抗原（PSA）在正常范围内，影像学检查发现右精囊旁有一个宽5厘米的膀胱后结节性病变。我们成功地进行了机器人辅助腹腔镜手术切除该病变。解剖病理学分析显示为施万细胞瘤。
