腹膜后黑色素性神经鞘瘤一例
Chinese Journal of General Surgery（2014）
Abstract
患者女,53岁.1个月前因急性阑尾炎人院.术前B超检查发现右髂部位包块,手术切除阑尾,术中见该包块与神经及血管粘连紧密,未予处理.患者术后1个月,病情恢复尚可,为明确诊断再次人院.腹部及盆腔CT检查可见腹膜后右侧髂腰肌前方软组织密度影边界清晰,增强扫描呈不均匀强化,病灶向内推压右侧髂血管,盲肠及回盲部较多淋巴结显示,考虑为腹膜后占位性病变(肌源性肿瘤或神经源性肿瘤);B超提示胆囊内胆泥沉着声像,凝血功能示:D-Di4.60 μg/ml,FDP 9.90 μg/ml;乙肝五项(-),血常规、血清电解质、肝肾功能、心电图、胸片均未见异常.完善术前相关检查后行手术治疗切除病灶包块.
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