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乙状结肠神经鞘瘤：1例罕见病例

Schwannoma of the Sigmoid Colon: A Rare Case.

作者信息

Zainaldeen Bushra A, Alaus Amr S, AlKooheji Mariam, Alkhuzaie Jaffar, Alshaikh Safa

机构信息

Department of Surgery, Salmaniya Medical Complex, Manama, BHR.

Department of Pathology, Salmaniya Medical Complex, Manama, BHR.

出版信息

Cureus. 2024 Jan 29;16(1):e53140. doi: 10.7759/cureus.53140. eCollection 2024 Jan.

DOI:10.7759/cureus.53140
PMID:38420095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10901039/
Abstract

Schwannoma is a type of peripheral nerve sheath tumor that is often found in the head and neck. Schwannomas in the digestive system, particularly the colon and rectum, are exceptionally rare, and they are mostly non-malignant and asymptomatic although sometimes patients can present with symptoms similar to those observed in patients with other gastrointestinal tumors like abdominal pain, fullness, nausea, vomiting, and change in bowel habits. For diagnosis and treatment, surgical resection along with biopsy is the gold standard. In this paper, we describe a rare case of sigmoid schwannoma that was successfully treated in our department by surgical resection.

摘要

神经鞘瘤是一种周围神经鞘膜肿瘤，常见于头颈部。消化系统中的神经鞘瘤，尤其是结肠和直肠的神经鞘瘤极为罕见，大多为非恶性且无症状，不过有时患者会出现类似于其他胃肠道肿瘤患者的症状，如腹痛、饱胀感、恶心、呕吐以及排便习惯改变。对于诊断和治疗，手术切除并活检是金标准。在本文中，我们描述了一例罕见的乙状结肠神经鞘瘤病例，该病例在我们科室通过手术切除成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/012b72be1ede/cureus-0016-00000053140-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/9ca8490cb1f0/cureus-0016-00000053140-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/c86e851d69f9/cureus-0016-00000053140-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/29b46699f6c7/cureus-0016-00000053140-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/b40ec7849d41/cureus-0016-00000053140-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/012b72be1ede/cureus-0016-00000053140-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/9ca8490cb1f0/cureus-0016-00000053140-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/c86e851d69f9/cureus-0016-00000053140-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/29b46699f6c7/cureus-0016-00000053140-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/b40ec7849d41/cureus-0016-00000053140-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7ed/10901039/012b72be1ede/cureus-0016-00000053140-i05.jpg

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引用本文的文献

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A Comparative Analysis of GISTs and Schwannomas in the Sigmoid Colon: Case Report and Review of the Management Strategies.乙状结肠胃肠道间质瘤与神经鞘瘤的比较分析：病例报告及治疗策略综述
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Peripheral nerve sheath tumors in the head and neck in patients with APC gene deletion mutations: a case report and scoping review of the literature.

本文引用的文献

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Sigmoid colon schwannoma difficult to distinguish from peritoneal dissemination 13 years after pancreatic neuroendocrine tumor surgery.乙状结肠神经鞘瘤难以与胰腺神经内分泌肿瘤手术后13年出现的腹膜播散相鉴别。
Surg Case Rep. 2023 May 11;9(1):76. doi: 10.1186/s40792-023-01658-z.
2
Gastric Schwannoma as an Important and Infrequent Differential Diagnosis of Gastric Mesenchymal Tumours: A Case Report and Review of Literature.胃神经鞘瘤作为胃间质瘤重要且罕见的鉴别诊断：一例报告及文献复习
Cureus. 2022 Dec 1;14(12):e32112. doi: 10.7759/cureus.32112. eCollection 2022 Dec.
3
Case Report: Schwannoma of the sigmoid colon: a case report of a rare colonic neoplasm and review of literature.
伴有APC基因缺失突变的头颈部周围神经鞘瘤：一例报告及文献综述
Clin Exp Pediatr. 2025 Jun;68(6):428-433. doi: 10.3345/cep.2024.01375. Epub 2025 Jan 13.
病例报告：乙状结肠神经鞘瘤：一例罕见结肠肿瘤的病例报告及文献复习
F1000Res. 2019 May 13;8:652. doi: 10.12688/f1000research.19110.1. eCollection 2019.
4
Schwannoma in the ascending colon, a rare finding on surveillance colonoscopy.升结肠神经鞘瘤，在结肠镜监测中是罕见发现。
J Surg Case Rep. 2019 Feb 19;2019(2):rjz046. doi: 10.1093/jscr/rjz046. eCollection 2019 Feb.
5
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BMC Surg. 2018 Jul 25;18(1):47. doi: 10.1186/s12893-018-0379-2.
6
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