腹膜后神经鞘瘤误诊20例  

Misdiagnosis of retroperitoneal schwannoma:A retrospective study of 20 cases

作　　者：金益峰[1] 周建平[1] 张丹华[1] 

机构地区：[1]中国医科大学附属第一医院胃肠外科,辽宁省沈阳市110000

出　　处：《世界华人消化杂志》2012年第32期3167-3170,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨腹膜后神经鞘瘤的一般资料、诊断、治疗及预后.方法:收集2004-11/2011-11中国医科大学第一附属医院普通外科收治的腹膜后肿物患者113例的临床资料(其中20例为腹膜后神经鞘瘤),进行回顾性分析,并回顾复习国内外现有相关文献资料.结果:本组患者均行影像学检查并且均行手术治疗,术后进行病理诊断.20例中除1例肿瘤部分切除,1例包膜内切除外,获得随访18例.其中完整切除者17例,随访时间最短11mo,最长83mo,平均随访时间40.5mo,中位随访时间41mo,生活质量均良好,期间经复查均无复发迹象.包膜内切除者1例,随访时间28mo,预后良好,无复发迹象.结论:腹膜后神经鞘瘤是一种罕见的肿瘤,术前诊断困难缺乏特异性,手术完整切除肿瘤是首选的治疗方法,预后良好,少见复发.AIM：To investigate the clinical features,diagnosis,treatment,and prognosis of retroperitoneal schwannomas.METHODS：A total of 113 patients with retroperitoneal neoplasms treated at the Department of General Surgery of the First Hospital of China Medical University in the past decade,of whom 20 were diagnosed with retroperitoneal schwannoma.The clinical data for the 20 patients were retrospectively reviewed.RESULTS：All the patients underwent radiological examination and surgical excision,and were confirmed with retroperitoneal schwannoma by pathology.Except that two cases undergoing enucleation and partial excision were lost to follow-up,all others（18/20） were evaluable.Among the 18 cases,17 were treated by com-plete surgical resection,had high quality lives,and showed no evidence of recurrence during a mean follow-up of 40.5 mo（range 11 to 83 mo）,and 1 underwent enucleation and had the same favorable prognosis during the 28-month follow-up.CONCLUSION：Retroperitoneal schwannomas are rare and preoperative diagnosis is difficult.Radiologic findings cannot make an accurate diagnosis.Complete surgical excision should be considered.Patients undergoing complete surgical resection tend to do well without evidence of recurrence.

关 键 词：神经鞘瘤 腹膜后肿瘤 诊断 治疗 

分 类 号：R735.4[医药卫生—肿瘤]