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胰腺神经鞘瘤:胰腺肿块的一种罕见鉴别诊断。

Pancreatic schwannoma: a rare differential diagnosis for a pancreatic mass.

作者信息

AlNuaimi Dana, Abdulghaffar Shareefa, Iuppa Giuseppe, AlDuaij Ahmad, Badrawi Noor, Balci Numan Cem

机构信息

Department of Health, Abu Dhabi, United Arab Emirates.

Dubai Health Authority, Dubai, United Arab Emirates.

出版信息

BJR Case Rep. 2023 Aug 2;9(4):20230029. doi: 10.1259/bjrcr.20230029. eCollection 2023 Aug.

Abstract

Pancreatic schwannomas are rare benign tumors with low malignant potential and are often difficult to diagnose due to their non-specific presenting symptoms and overlapping radiological imaging characteristics. Cross-sectional imaging plays an important role in the initial diagnosis and in delineating the extent of the lesion. However, biopsy and histopathological examination remains the gold-standard for a definite diagnosis. The management of pancreatic schwannomas includes surgical resection often yielding excellent clinical outcomes with low recurrence rates. We present a case of a 33-year-old female patient with a history of a recurrent vague upper abdominal pain where CT of the upper abdomen showed a hypodense pancreatic mass. Robotic subtotal pancreatectomy was done with histopathology showing spindled Schwann cells indicative of a pancreatic schwannoma.

摘要

胰腺神经鞘瘤是一种罕见的良性肿瘤,恶性潜能低,由于其非特异性的临床表现和重叠的放射影像学特征,常常难以诊断。横断面成像在初步诊断和确定病变范围方面发挥着重要作用。然而,活检和组织病理学检查仍然是明确诊断的金标准。胰腺神经鞘瘤的治疗包括手术切除,通常能取得良好的临床效果,复发率低。我们报告一例33岁女性患者,有反复上腹部隐痛病史,上腹部CT显示胰腺低密度肿块。行机器人辅助胰腺次全切除术,组织病理学显示梭形施万细胞,提示为胰腺神经鞘瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d289/10412914/9669f3f3420a/bjrcr.20230029.g001.jpg

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