李阳光 吴帆 赵陇成 胡悦

    【摘要】胰腺神经鞘瘤是一种极为罕见的神经源性肿瘤，缺乏特征性临床表现和影像学征象，术前明确诊断存在较大困难，常与其他胰腺良恶性肿瘤难以鉴别。文章报道1例胰腺体部神经鞘瘤患者的诊治经过，患者为44岁女性，因体检发现胰腺肿物5 d入院，行腹部增强CT提示胰腺体部肿物，约6.4 cm×5.4 cm，予行胰腺中段切除+远端胰腺残端空肠Roux-en-Y吻合术，术后病理回报符合胰腺上皮样神经鞘瘤。术后随访2年余，未见肿瘤复发或转移。该例为临床医师诊治胰腺神经鞘瘤提供了临床参考。

    【关键词】胰腺肿瘤；神经鞘瘤；外科手术；病理诊断

    Schwannoma of the pancreatic body： a case report

    LI Yangguang1， WU Fan1 ， ZHAO Longcheng1， HU Yue2

    (1.Department of Hepatobiliary Pancreatic Thyroid Surgery， Guangzhou Red Cross Hospital Affiliated to Jinan University， Guangzhou 510220， China； 2.Department of Pathology， Guangzhou Red Cross Hospital Affiliated to Jinan University， Guangzhou 510220， China)

    Corresponding author： WU Fan， E-mail： wufan7911@163.com

    【Abstract】Pancreatic schwannoma is an extremely rare neurogenic tumor， lacking of specific clinical manifestations and imaging signs. It is difficult to make a definite diagnosis before operation， and it is frequently misdiagnosed with other benign and malignant tumors of the pancreas. In this article， the diagnosis and treatment of a patient with pancreatic schwannoma were reported. The 44-year-old female patient was admitted to the hospital because of pancreatic mass found by physical examination for 5 days. Abdominal enhanced CT scan showed pancreatic body mass ......