Takayama H, Itoh K, Tohda A, Kobayashi Y, Nakamori S, Fujimoto N, Sagawa S
Department of Urology, Osaka Prefectural General Hospital.
Hinyokika Kiyo. 1996 Sep;42(9):691-3.
A 65-year-old man and a 35-year-old woman were diagnosed with intrapelvic tumors originating from the sacral nerves by computed tomographic (CT) scan, magnetic resonance imaging (MRI) and angiography. These tumors were tightly adhered to the iliac arteries and veins and could not be resected completely. Since the cryostat sections revealed benign schwannomas histopathologically, we enucleated the tumors without the pseudocapsules. All of the 57 intrapelvic schwannomas previously reported in Japan were resected with pseudocapsules. Both of our patients showed improvement of subjective symptoms, but should be followed up and examined for the presence of regrowth of tumors.
一名65岁男性和一名35岁女性经计算机断层扫描(CT)、磁共振成像(MRI)和血管造影诊断为起源于骶神经的盆腔内肿瘤。这些肿瘤与髂动脉和静脉紧密粘连,无法完全切除。由于冷冻切片在组织病理学上显示为良性神经鞘瘤,我们在不保留假包膜的情况下摘除了肿瘤。此前在日本报道的57例盆腔内神经鞘瘤均保留假包膜进行了切除。我们的两名患者主观症状均有改善,但应进行随访并检查肿瘤是否复发。