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表现为潘科斯特瘤的良性肺内神经鞘瘤伴18氟脱氧葡萄糖(FDG-18 PET)高摄取

Benign Intrapulmonary Schwannoma With High Uptake on Fluorodeoxyglucose-18 (FDG-18 PET) Presenting as a Pancoast Tumor.

作者信息

Chauhan Sukhjinder, Rahman Faraz, Dhillon Gundip S, Hewapathirana Udanie, Mongalo Milliejoan, Chung Arnold

机构信息

Internal Medicine, Mountainview Hospital, Las Vegas, USA.

Internal Medicine, Hospital Corporation of America (HCA) Mountainview, Las Vegas, USA.

出版信息

Cureus. 2023 Apr 18;15(4):e37788. doi: 10.7759/cureus.37788. eCollection 2023 Apr.

Abstract

A 46-year-old female patient was diagnosed with a rare and benign intrapulmonary schwannoma, a neurogenic tumor that represents approximately 20% of adult mediastinal tumors, with schwannomas being the most common subtype. The patient was initially asymptomatic; however, after a period of four years, the patient presented with bilateral extremity edema, chronic venous stasis, elevated right ventricular systolic pressure, and a slightly enlarged inferior vena cava. These symptoms were caused by the lung tumor compressing intrathoracic structures. This case highlights the need for early evaluation and proper management of neurogenic tumors to avoid serious symptoms and complications. It also emphasizes the importance of vigilant monitoring and prompt surgery to achieve the best outcome for patients with neurogenic tumors.

摘要

一名46岁女性患者被诊断患有罕见的良性肺内神经鞘瘤,这是一种神经源性肿瘤,约占成人纵隔肿瘤的20%,其中神经鞘瘤是最常见的亚型。该患者最初无症状;然而,四年后,患者出现双侧肢体水肿、慢性静脉淤血、右心室收缩压升高以及下腔静脉轻度扩张。这些症状是由肺部肿瘤压迫胸内结构所致。该病例凸显了对神经源性肿瘤进行早期评估和妥善管理以避免严重症状和并发症的必要性。它还强调了密切监测和及时手术对于神经源性肿瘤患者取得最佳治疗效果的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/782c/10112934/d7a3a16f6b6f/cureus-0015-00000037788-i01.jpg

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