心包内及后纵隔恶性神经鞘瘤1例报告并文献复习  

Intrapericardial and posterior mediastinal malignant schwannoma: a case report and literature review

作　　者：邓勇军[1] 刘焕鹏[1] 李珏[1] 汪颖[1] 

机构地区：[1]云南省第二人民医院(昆明医科大学第四附属医院胸外科),昆明650021

出　　处：《临床与病理杂志》2015年第3期505-510,共6页Journal of Clinical and Pathological Research

摘　　要：目的:提高对心包内恶性神经鞘瘤的临床认识。方法:对我院治疗的1例心包内及后纵隔恶性神经鞘瘤合并心包填塞患者的临床病理资料进行报告,并分析国内外文献报道的6例心包内恶性神经鞘瘤的临床资料。结果:心包内恶性神经鞘瘤以心包填塞为主要症状,心脏彩超及胸部CT检查是临床上诊断心包内肿瘤的主要手段,确诊依靠组织病理学及免疫组化检查,手术切除肿瘤能缓解心包填塞症状。结论:心包内恶性神经鞘瘤临床罕见,预后较差,手术切除肿瘤是其有效的治疗方法之一。Objective： To improve the clinical understanding ofintrapericardial malignant schwannoma. Methods： A woman with intrapericardial and posterior mediastinal malignant schwannoma companied by pericardial tamponade was treated in our hospital, we report the clinical pathological data of this patient and analyze the clinical data of 6 cases ofpericardial malignant schwannoma which were reported by domestic and foreign literatures. Results： The main symptom of pericardial malignant schwannoma was pericardial tamponade. Echocardiogram and chest CT examination is the main method for clinical diagnosis of pericardial tumor, and a definite diagnosis must depend on pathology and immunohistochemical examination. Resection of intrapericardial tumor can alleviate the symptoms ofpericardial tamponade. Conclusion： Intrapericardial malignant schwannoma is rare clinically, and its prognosis is poor. Operation is one of the effective treatments.

关 键 词：心包内肿瘤 恶性神经鞘瘤 

分 类 号：R732.1[医药卫生—肿瘤] R734.5[医药卫生—临床医学]