Schüppler U, Weisner D, Schollmeyer T, Lüttges J, Kovaćs G
Klinikum der Christian-Albrechts-Universität zu Kiel.
Geburtshilfe Frauenheilkd. 1995 Feb;55(2):110-2. doi: 10.1055/s-2007-1022784.
A case is reported of a 78-year old female with a malignant retroperitoneal schwannoma. The diagnosis of schwannoma is often delayed because of the absence of early clinical signs. Clinical examination and computed tomography indicated an ovarian tumour. IVP demonstrated retroperitoneal involvement. Biopsy of a pelvic wall tumour at laparotomy yielded a positive histology for malignant schwannoma. Due to the extensive size and infiltration of the tumour it was deemed inoperable and the patient recommended a trial of radiotherapy. The patient had no manifestation of von Recklinghausen's disease.
报告了一例78岁女性患有恶性腹膜后神经鞘瘤的病例。由于缺乏早期临床症状,神经鞘瘤的诊断常常延迟。临床检查和计算机断层扫描显示为卵巢肿瘤。静脉肾盂造影显示腹膜后受累。剖腹手术时对盆腔壁肿瘤进行活检,组织学检查结果为恶性神经鞘瘤阳性。由于肿瘤体积巨大且有浸润,认为无法手术,建议患者进行放射治疗试验。该患者无冯·雷克林豪森病的表现。