椎管内巨大钙化神经鞘瘤1例
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1.河北医科大学附属沧州市中心医院;2.沧州市中心医院

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A case of giant calcified schwannoma in the spinal canal
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cang zhou shi zhong xin yi yuan

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    摘要:

    摘要:背景:神经鞘瘤起源于神经鞘雪旺细胞,是椎管内肿瘤最常见的组织学类型,但其发生率并不高,伴有巨大钙化性的神经鞘瘤更为罕见。病例描述:该例患者女性,66岁,长期腰痛,近期加剧并伴有下肢麻痛入院,影像学检查可见腰2水平椎管内髓外硬膜下肿物伴有巨大钙化。手术完整切除肿物,肿物质硬不规则。术后症状得到缓解,病理为神经鞘瘤伴钙化。结论:神经鞘瘤伴巨大钙化极为罕见,但不能忽略这一鉴别诊断,这使得术前诊断存在困难。治疗多采用手术治疗,患者手术切除肿物的预后和生存率较为可观。

    Abstract:

    Abstract: [Background] Schwannomas originate from Schwann cells of the nerve sheath. Schwannomas are the most common histological type of intravertebral tumors, but their incidence is not high. Schwannomas with giant calcifications are even rarer. [Case Description] The 66-year-old female patient was admitted to hospital with long-term low back pain, which was recently aggravated and accompanied by numbness in the lower extremity. Imaging examination showed a subdural and extramedullary mass in the spinal canal at the lumbar level 2 with huge calcification. The tumor was removed completely and the swelling was hard and irregular. Postoperative symptoms were relieved, and the pathology was schwannoma with calcification. [Conclusion] Schwannomas with giant calcification are extremely rare, but this differential diagnosis cannot be ignored, making preoperative diagnosis difficult. Surgical treatment is often used, and the prognosis and survival rate of patients undergoing surgical resection are relatively good.

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  • 收稿日期:2022-11-21
  • 最后修改日期:2023-03-16
  • 录用日期:2023-08-02
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