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Benign Pancreatic Schwannoma: Report of a Case

良性胰臟神經鞘瘤-一病例報告

摘要


神經鞘留(Schwannoma)是一良性,且生長緩慢的腫瘤,大多位於身體四肢,軀幹及頭頸部,甚少發生於胰臟。我們報告一例發生於胰臟頭部的良性神經鞘瘤,在臨床檢查及診斷上疑似惡性囊樣胰臟腫瘤,同時回顧文獻。此病例最終診斷以病理報告為準。病人接受單純性腫瘤摘除術,術後追蹤42個月預後良好。針對此胰臟神經鞘瘤的手術方式,我們建議單純性腫瘤摘除是一適當的選擇。

並列摘要


Schwannoma is a benign, slow-growing neoplasm rarely found in the pancreas. We report a case of benign pancreatic schwannoma arising from the pancreatic head that mimicked a malignant cystic pancreatic neoplasm, and review the English-language literature. The diagnosis was based on the preoperative CT scan findings and intra-operative frozen section. Simple enucleation from the surrounding pancreatic parenchyma was performed and the patient remained well and symptom-free after 42 months of follow up. We conclude that simple tumor enucleation is an adequate treatment for pancreatic schwannoma.

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