Richards J L, Matolo N M
Am Surg. 1979 Jan;45(1):49-51.
Primary neurogenic retroperitoneal tumors in the adult are rare. This case presentation reviews an unusual history of a patient who presented with pain and neurologic deficits suggesting lumbar disk disease but who was unrelieved by laminectomy and disk removal. Later he was found to have a malignant schwannoma arising from the right L nerve root. Experience such as this reminds physicians that when the result of treatment is not as expected the original diagnosis must be questioned.
成人原发性神经源性腹膜后肿瘤较为罕见。本病例报告回顾了一名患者的不寻常病史,该患者表现出疼痛和神经功能缺损,提示腰椎间盘疾病,但椎板切除术和椎间盘切除术未能缓解症状。后来发现他患有起源于右侧L神经根的恶性神经鞘瘤。这样的经历提醒医生,当治疗结果不如预期时,必须对最初的诊断提出质疑。