多发性神经鞘瘤一例报告

来源 :国外医学.神经病学神经外科学分册 | 被引量 : 0次 | 上传用户:maomao0464
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神经鞘瘤多发者少见,作者收治一例报告为下:病例:30岁,女,在15岁和17岁时曾切除右前臂和右大腿部数个皮下肿瘤。数年前发现左上肢及右下肢皮下肿瘤。因右手背肿瘤压痛明显就诊经活检诊断为神经鞘瘤,为切除其他部位的肿瘤,於1982年5月19日收入院。患者一般情况良好,未发现多发性神经纤维瘤病具有的咖啡牛奶斑。右手背、右前臂和右大腿皮下可触及大小不等6个肿瘤,最大者为右大腿内侧,直径约7Cm 硬,表面光滑,呈球状和串珠状,与周围组织无粘连,无压痛,放射性痛和四肢肌萎缩等神经系统症状。1982年5月20日,在全麻下,行肿瘤切除术,术中所见,肿瘤有纤维性色膜,易从周围组织剥离,肿瘤与原发神经的关系不清楚。未出现感觉消失或减退等神经症状,术后9个月无复发,亦未发生新 Patients with multiple schwannomas are rare, and the author reported a case report as follows: Case: 30-year-old, female, 15 and 17 years old had had several subcutaneous tumors removed from the right forearm and right thigh. A few years ago, subcutaneous tumors of the left and right lower extremities were found. Because of the obvious tenderness of the right hand back tumor, he was diagnosed as a schwannomas by biopsy. For other tumors, he was admitted to the hospital on May 19, 1982. The patient was generally in good condition and had no coffee milk spots found in multiple neurofibromatosis. The right hand back, the right forearm and the right thigh can reach 6 tumors ranging in size from the subcutaneous. The largest one is the inner side of the right thigh. The diameter is about 7cm hard, the surface is smooth, spherical and beaded, no adhesion with the surrounding tissue, no tenderness, radiopain And nervous system symptoms such as limb muscle atrophy. On May 20th, 1982, under general anesthesia, tumor resection was performed. During the operation, the tumor had a fibrous chromatographic film and was easily detached from the surrounding tissue. The relationship between the tumor and the primary nerve was unclear. There were no neurological symptoms such as loss of consciousness or regression, no recurrence 9 months after surgery, nor new
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