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酷似肾肿物的肾周神经鞘瘤:诊断陷阱——病例报告

Perirenal schwannoma mimicking a renal mass: A diagnostic pitfall - Case report.

作者信息

Sobhi M A, Hamedoun L, Mrabti M, Tbouda M, Alami M, Ameur A

机构信息

Departement of Urology, Mohammed V Military Hospital, Rabat, Morocco.

Department of Pathology, Ouad Dahab Military Hospital, Agadir, Morocco.

出版信息

Urol Case Rep. 2025 Jun 2;61:103089. doi: 10.1016/j.eucr.2025.103089. eCollection 2025 Jul.

Abstract

Perirenal schwannomas are rare benign tumors that may radiologically mimic renal malignancies. We report the case of a 39-year-old asymptomatic woman with an incidentally discovered perirenal mass initially suspected to be renal cancer. Intraoperatively, the lesion appeared well-encapsulated and extrarenal. Complete excision was performed, sparing the kidney. Histopathological analysis confirmed the diagnosis of benign schwannoma. This case highlights the diagnostic challenge of perirenal schwannomas and emphasizes the importance of intraoperative assessment and histological confirmation to avoid unnecessary nephrectomy.

摘要

肾周神经鞘瘤是罕见的良性肿瘤,在影像学上可能酷似肾恶性肿瘤。我们报告一例39岁无症状女性病例,其偶然发现肾周肿块,最初怀疑为肾癌。术中,病变表现为包膜完整且位于肾外。实施了完整切除,保留了肾脏。组织病理学分析证实为良性神经鞘瘤。该病例凸显了肾周神经鞘瘤的诊断挑战,并强调了术中评估和组织学确诊以避免不必要肾切除术的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f36/12171562/edd2c86ef044/gr1.jpg

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