Werner A, Schilling U, Müller M
Frauenklinik am Diakonissenkrankenhaus, Dresden.
Geburtshilfe Frauenheilkd. 1996 Jul;56(7):390-2. doi: 10.1055/s-2007-1023272.
We report on a case of benign retroperitoneal schwannoma involving the obturator nerve. Discussing the difficulties of diagnosis and treatment the following became clear: 1.) Clinical examination, ultrasound and computed tomography are not helpful to differentiate a retroperitoneal schwannoma from a cystic ovarian tumour; this problem can perhaps be overcome by MR imaging. 2.) The diagnosis should be borne in mind in cases of retroperitoneal tumours of unclear origin. Appropriate surgery is necessary to avoid nerve damage and paralysis.
我们报告一例累及闭孔神经的良性腹膜后神经鞘瘤。在讨论诊断和治疗的困难时,以下情况变得清晰:1.)临床检查、超声和计算机断层扫描无助于区分腹膜后神经鞘瘤与卵巢囊性肿瘤;这个问题或许可以通过磁共振成像来克服。2.)对于起源不明的腹膜后肿瘤病例应考虑到该诊断。进行适当的手术以避免神经损伤和麻痹是必要的。