腹膜后神经鞘瘤合并胃神经鞘瘤一例  

Retroperitoneal Schwannoma with Gastric Schwannoma:A Case Report and Review of the Literature

作　　者：任尚青[1] 柳良仁[1] 邓实[1] 董天[2] 董强[1] 

机构地区：[1]四川大学华西医院泌尿外科,成都610041 [2]四川大学华西医院血液内科,成都610041

出　　处：《华西医学》2012年第5期681-683,共3页West China Medical Journal

摘　　要：目的总结1例腹膜后神经鞘瘤合并胃神经鞘瘤的临床诊疗方法。方法 2010年12月收治1例女性患者,因呕血行CT检查发现胃体前壁及右肾上腺区占位入院,行胃楔形切除术及右肾上腺肿瘤切除术治疗。结果术后病理证实为腹膜后神经鞘瘤合并胃神经鞘瘤,随访半年无复发。结论腹膜后神经鞘瘤合并胃神经鞘瘤病例罕见且诊断困难,影像学检查缺乏特异性,可依靠术后病理检查确诊;外科手术完整切除肿瘤是有效的治疗方法,预后较好。Objective To report a rare case of retroperitoneal schwannoma with gastric schwannoma,review the related literatures and study the diagnosing and treatment of this disease.Methods A 58-year-old woman presented to hospital with hematemesis.The abdominal CT demonstrated messes in antetheca of corpus gastricum and right adrenal gland area.She was admitted in December 2010 and underwent Wedge resection of stomach and right adrenal gland tumorectomy.Results It was confirmed as schwannoma located in the retroperitoneal spaces and stomach by pathology. No evidence of recurrence was found within a 6-month follow-up.Conclusions Accurate recognition and early diagnosis of this disease are difficult,as radiologic findings are usually nondiagnostic.Biopsy is the unique way to the final diagnosis. Complete surgical resection of the mass is proved to be a good method.

关 键 词：神经鞘瘤 腹膜后 胃 

分 类 号：R735.4[医药卫生—肿瘤]