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Giant presacral schwannoma presenting with constipation: a case report

机译:巨大的前神经鞘瘤伴便秘:一例报告

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Introduction Schwannoma, otherwise known as a neurilemmoma, is a tumor arising from peripheral nerve sheaths. Although commonly noted in association with the eighth cranial nerve as intracranial acoustic neuroma, cases of schwannoma arising in other locations have been reported in the literature. These tumors usually cause symptoms as a result of their mass effect and, since they are benign, encapsulated and non-invasive tumors, complete surgical excision is considered curative. Case presentation We report the case of a 46-year-old Sri Lankan man who presented to our facility with recent onset of difficulty evacuating his bowels. He was noted to have a giant presacral schwannoma on magnetic resonance imaging scan. The mass was surgically excised with improvement of our patient???s symptoms. A subsequent histopathological examination confirmed the presence of a benign schwannoma. Conclusions Although schwannomas commonly occur in the extremities, a rare case of occurrence in the pelvis is reported here. Due to the limited space in the pelvis, the local mass effect may be the presenting feature of such a lesion and surgical excision is curative.
机译:简介神经鞘瘤,也称为神经鞘瘤,是一种由周围神经鞘膜引起的肿瘤。尽管通常将第八颅神经称为颅内听神经瘤,但文献中已有报道在其他部位出现神经鞘瘤病例。这些肿瘤通常由于其质量效应而引起症状,并且由于它们是良性,包囊性和非侵入性肿瘤,因此完全手术切除被认为是治愈性的。病例介绍我们报告了一名46岁的斯里兰卡男子的病例,该男子最近来到我们的机构就诊,当时他开始排便困难。磁共振成像扫描显示他患有巨大的s前神经鞘瘤。通过手术切除肿块,改善了患者的症状。随后的组织病理学检查证实存在良性神经鞘瘤。结论虽然神经鞘瘤通常发生在四肢,但这里报道的骨盆罕见病例。由于骨盆中的空间有限,局部肿块效应可能是这种病变的表现特征,并且手术切除是治愈性的。

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