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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 summarize the clinical diagnosis and treatment of 1 case of retroperitoneal schwannoma with gastric schwannoma. Methods One female patient was admitted in December 2010. Because of vomiting blood, the anterior wall of the body and the right adrenal gland were admitted to the hospital due to vomiting blood. The patients underwent wedge resection and right adrenalectomy. Results Postoperative pathology confirmed as retroperitoneal schwannoma with gastric schwannoma, followed up for six months without recurrence. Conclusions The cases of retroperitoneal schwannoma complicated with gastric schwannoma are rare and difficult to diagnose. The imaging examination lacks specificity and can be confirmed by postoperative pathological examination. Complete surgical removal of the tumor is an effective treatment and the prognosis is good.