Laparoscopically resected obturator nerve schwannoma: A case report.
Laparoscopically resected obturator nerve schwannoma: A case report.
复制标题
腹腔镜切除闭孔神经鞘瘤：病例报告。
DOI：
10.1111/ases.12291
复制
发表时间：
2016
影响因子：
1
通讯作者：
Takeyama H.
中科院分区：
文献类型：
--
作者：
Takahashi H;Hara M;Tsuboi K;Sagawa H;Ishiguro H;Matsuo Y;Takeyama H.
闭孔神经鞘瘤非常罕见。迄今为止，英语文献中仅报告了9例病例;这些病例均未在术前确诊。一名68岁女性因左下腹疼痛入院。CT和MRI显示左侧闭孔窝有一直径30 mm的肿块，提示腹膜后肿瘤。由于CT和MRI显示与左侧闭孔神经有清晰的连续性，因此诊断为闭孔神经鞘瘤。腹腔镜下肿瘤摘除术。经病理组织学检查，诊断为良性闭孔神经鞘瘤。术后，患者出现内收肌无力，但在6个月内通过康复治疗恢复。闭孔神经鞘瘤的术前诊断相当困难，但术前仔细的CT和MRI检查对确定原发神经是很重要的。因此，腹腔镜切除术是一个很好的治疗选择。
Obturator nerve schwannomas are very rare. To date, only nine cases have been reported in the English‐language literature; none of these were diagnosed preoperatively. A 68‐year‐old woman was admitted with left lower abdominal pain. CT and MRI revealed a mass 30 mm in diameter in the left obturator fossa, suggesting a retroperitoneal tumor. Because CT and MRI revealed clear continuity with the left obturator nerve, this case was diagnosed as an obturator nerve schwannoma. Tumor enucleation was performed by laparoscopy. On histopathological examination, this case was diagnosed as a benign obturator nerve schwannoma. Postoperatively, the patient developed weakness of the adductor muscle but recovered within 6 months with rehabilitation therapy. Preoperative diagnosis of obturator nerve schwannomas is quite difficult, but careful inspection of CT and MRI is important to identify the original nerve of schwannoma preoperatively. Accordingly, laparoscopic resection is a good treatment option.