阴囊神经鞘瘤1例报道并文献复习

The diagnosis and treatment of scrotal schwannomas(report of one case)

目的探讨阴囊神经鞘瘤的疾病特点,提高对阴囊神经鞘瘤的临床诊治水平。方法对1例阴囊神经鞘瘤病例进行报道,并结合文献报道的7例资料进行分析总结。结果 8例中,良性神经鞘瘤4例,平均直径6.5cm,平均病程4.4年,年龄34～48岁,平均年龄38.4岁,超声检查提示肿瘤与周围组织界限清楚;1例合并阴茎癌良性神经鞘瘤,患者年龄78岁;3例恶性神经鞘瘤平均直径12.6cm,平均病程2.2年,平均年龄75岁,超声检查提示肿瘤边界不清,内部回声不均。结论阴囊神经鞘瘤极为罕见,目前确诊依赖于术后病理检查。对于阴囊肿瘤应尽早手术切除,手术是目前治疗的有效方法,以避免恶性肿瘤的诊治延误。

Objective To discuss the characteristic of scrotal schwannomas in order to improve diagnosis and treatment.Methods To analyze and summarize the related data of one case of scrotal schwannomas,combined with the review of other 7 cases in pertinent literature.Results Four out of eight cases are benign scrotal schwannoma,which average diameter is 6.5 cm,the average pathogenesis is 4.4 years.Their age from 34 to 48 years old,the average age is 38.4 years old.Ultrasound examination show it＇s clear between tumor and normal tissues.One 78 years old patient combined penis benign schwannoma,three cases is Scrotal malignant schwannoma,which average diameter is 12.6 cm,average course of disease is 2.2 years,average age is 75 years old.Ultrasound examination show the border of tumor is ambiguity,internal echo is not adqulis.Conclusions The diagnosis of scrotal schwannomas depends on postoperative pathological examination and needs follow-up observations.Early resection is a positive and effective treatment for this disease.