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子宫肌瘤切除术后一项不同寻常的组织学发现。

An unusual histological finding following myomectomy.

作者信息

Macdonald F, Okojie A, Gayen A, Mallick R

出版信息

Facts Views Vis Obgyn. 2022 Dec;14(4):343-346. doi: 10.52054/FVVO.14.4.049.

DOI:10.52054/FVVO.14.4.049
PMID:36724428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10364338/
Abstract

Ancient schwannomas are benign tumours arising from the neural sheath of peripheral, cranial and autonomic nerves. They are commonly situated in the inner ear and spine with pelvic manifestations being rare. We present the case of a 30-year-old patient, who presented with an abdominal mass. MRI imaging suggested a broad ligament fibroid and open surgery was undertaken to remove it. Subsequent histology confirmed an ancient schwannoma. This case report details the rarity of such a condition and the need for a high index of suspicion as well as outlining management options and surveillance.

摘要

陈旧性神经鞘瘤是起源于周围神经、颅神经和自主神经神经鞘的良性肿瘤。它们通常位于内耳和脊柱,盆腔表现罕见。我们报告一例30岁患者,该患者表现为腹部肿块。MRI成像提示阔韧带肌瘤,遂行开放手术将其切除。随后的组织学检查证实为陈旧性神经鞘瘤。本病例报告详细阐述了这种疾病的罕见性以及高度怀疑的必要性,并概述了管理方案和监测情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26f7/10364338/949290415036/FVVinObGyn-14-343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26f7/10364338/f7fd7c344a81/FVVinObGyn-14-343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26f7/10364338/949290415036/FVVinObGyn-14-343-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26f7/10364338/f7fd7c344a81/FVVinObGyn-14-343-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26f7/10364338/949290415036/FVVinObGyn-14-343-g002.jpg

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An unusual histological finding following myomectomy.子宫肌瘤切除术后一项不同寻常的组织学发现。
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本文引用的文献

1
Schwannoma of the uterine cervix: a rare case report.子宫颈神经鞘瘤:一例罕见病例报告。
Obstet Gynecol Sci. 2019 Mar;62(2):134-137. doi: 10.5468/ogs.2019.62.2.134. Epub 2019 Jan 28.
2
Advantage of laparoscopic resection for pelvic Schwannoma: Case report and review of the literature.腹腔镜切除盆腔神经鞘瘤的优势:病例报告及文献复习
Int J Surg Case Rep. 2018;45:38-41. doi: 10.1016/j.ijscr.2018.03.006. Epub 2018 Mar 15.
3
Magnetic Resonance Imaging Appearance of Schwannomas from Head to Toe: A Pictorial Review.从头到脚的神经鞘瘤的磁共振成像表现:图谱综述
J Clin Imaging Sci. 2017 Oct 3;7:38. doi: 10.4103/jcis.JCIS_40_17. eCollection 2017.
4
Schwannomas of female genitalia from a gynaecologist's perspective: report of two cases and review of the literature.从妇科医生角度看女性生殖器神经鞘瘤:两例报告及文献复习
Eur J Gynaecol Oncol. 2016;37(2):254-7.
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Laparoscopic resection of a retroperitoneal pelvic schwannoma.腹腔镜下切除腹膜后盆腔神经鞘瘤。
J Surg Case Rep. 2014 Jan 14;2014(1):rjt122. doi: 10.1093/jscr/rjt122.
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Laparoscopic approach for retrorectal tumors.直肠后肿瘤的腹腔镜手术入路
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Retroperitoneal schwannoma: a common tumour in an uncommon site.腹膜后神经鞘瘤:不常见部位的常见肿瘤。
Hong Kong Med J. 2010 Feb;16(1):66-8.
9
Diagnosis and management of retroperitoneal ancient schwannomas.腹膜后古老型神经鞘瘤的诊断与治疗
World J Surg Oncol. 2009 Feb 2;7:12. doi: 10.1186/1477-7819-7-12.
10
Ancient schwannoma of the female pelvis.女性骨盆的古老型神经鞘瘤。
Abdom Imaging. 2008 Mar-Apr;33(2):247-52. doi: 10.1007/s00261-007-9228-y.