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一例罕见的巨大盆腔腹膜后神经鞘瘤。

A rare case of giant pelvic retroperitoneal schwannoma.

作者信息

Kawahori Takashi, Mukai Shoichiro, Saito Yasufumi, Nishida Toshihiro, Fukuda Toshikatsu, Ohdan Hideki

机构信息

Department of Surgery, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan.

Department of Pathology, Chugokurosai Hospital, 1-5-1, Hirotagaya, Kure City, Hiroshima 737-0193, Japan.

出版信息

Radiol Case Rep. 2024 Sep 11;19(12):5738-5743. doi: 10.1016/j.radcr.2024.08.109. eCollection 2024 Dec.

Abstract

This report highlights the successful treatment of large pelvic schwannomas and underscores the importance of preoperative embolization. A 40-year-old male presented with a lower abdominal mass and reported pain and numbness in the left lower limb attributed to nerve compression. Preoperative embolization of the main feeding vessels was performed to mitigate intraoperative bleeding. The tumor was completely excised during surgery, with preservation of the hypogastric nerve. Histopathological examination confirmed the diagnosis of schwannoma. We underscore the significant role of preoperative embolization in effectively managing large pelvic tumors, such as schwannomas, by reducing the risk of excessive bleeding.

摘要

本报告重点介绍了大型盆腔神经鞘瘤的成功治疗,并强调了术前栓塞的重要性。一名40岁男性因下腹部肿块就诊,自述左下肢疼痛和麻木,归因于神经受压。对主要供血血管进行术前栓塞以减少术中出血。手术中肿瘤被完整切除,保留了腹下神经。组织病理学检查确诊为神经鞘瘤。我们强调术前栓塞在有效处理大型盆腔肿瘤(如神经鞘瘤)方面的重要作用,即降低过度出血的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3049/11416468/0daeee58d176/gr1.jpg

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