Nagafuchi Y, Mitsuo H, Takeda S, Ohsato K, Tsuneyoshi M, Enjoji M
First Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Surg Today. 1993;23(1):68-72. doi: 10.1007/BF00309003.
A 62-year-old woman with a large mass in the hepatic hilus underwent surgery. Histologically the tumor was predominantly composed of spindle-shaped cells with nuclear palisading and cells that stained positively for S-100 protein. The diagnosis was benign schwannoma (neurilemoma). The presence of lymphoid cuffing with lymphoid follicles in the capsule and xanthomatous change differed from conventional soft parts schwannoma and closely resembled benign schwannoma in the gastrointestinal tract.
一名肝门区有巨大肿物的62岁女性接受了手术。组织学检查显示,肿瘤主要由核呈栅栏状排列的梭形细胞和S-100蛋白染色阳性的细胞组成。诊断为良性神经鞘瘤(神经膜瘤)。包膜内存在伴有淋巴滤泡的淋巴袖套以及黄色瘤样改变,这与传统的软组织神经鞘瘤不同,与胃肠道良性神经鞘瘤极为相似。