胰腺体部神经鞘瘤1例
Schwannoma of the pancreatic body:a case report
李阳光 1吴帆 1赵陇成 1胡悦2
作者信息
- 1. 暨南大学附属广州市红十字会医院肝胆胰甲状腺外科,广东 广州 510220
- 2. 暨南大学附属广州市红十字会医院病理科,广东 广州 510220
- 折叠
摘要
胰腺神经鞘瘤是一种极为罕见的神经源性肿瘤,缺乏特征性临床表现和影像学征象,术前明确诊断存在较大困难,常与其他胰腺良恶性肿瘤难以鉴别.文章报道 1 例胰腺体部神经鞘瘤患者的诊治经过,患者为 44 岁女性,因体检发现胰腺肿物 5 d入院,行腹部增强CT提示胰腺体部肿物,约 6.4 cm×5.4 cm,予行胰腺中段切除+远端胰腺残端空肠Roux-en-Y吻合术,术后病理回报符合胰腺上皮样神经鞘瘤.术后随访 2 年余,未见肿瘤复发或转移.该例为临床医师诊治胰腺神经鞘瘤提供了临床参考.
Abstract
Pancreatic schwannoma is an extremely rare neurogenic tumor,lacking of specific clinical manifestations and imaging signs.It is difficult to make a definite diagnosis before operation,and it is frequently misdiagnosed with other benign and malignant tumors of the pancreas.In this article,the diagnosis and treatment of a patient with pancreatic schwannoma were reported.The 44-year-old female patient was admitted to the hospital because of pancreatic mass found by physical examination for 5 days.Abdominal enhanced CT scan showed pancreatic body mass,approximately 6.4 cm×5.4 cm in size.The patient underwent middle pancreatectomy and distal pancreatic stump jejunum Roux-en-Y anastomosis.Postoperative pathological report was consistent with pancreatic epithelioid schwannoma.During the follow-up of 2 years,no tumor recurrence or metastasis was found.This case provides clinical reference for clinicians to diagnose and treat pancreatic schwannoma.
关键词
胰腺肿瘤/神经鞘瘤/外科手术/病理诊断Key words
Pancreatic neoplasms/Schwannoma/Surgery/Pathologic diagnosis引用本文复制引用
基金项目
国家自然科学基金面上项目(81974442)
广东省自然科学基金面上项目(2020A1515010799)
出版年
2024
国家科技期刊平台
NSTL
万方数据