大腿囊性肿瘤:坐骨神经神经鞘瘤,初步诊断为包膜囊肿,一例临床病例

A. MONÍS GARCÍA, I. Miranda Gómez, I. OLMO VALERIANO, M. MORENO VADILLO, J. Colado Domínguez, M.J. Sangüesa Nebot, J. DOMÉNECH FERNÁNDEZ
{"title":"大腿囊性肿瘤:坐骨神经神经鞘瘤,初步诊断为包膜囊肿,一例临床病例","authors":"A. MONÍS GARCÍA, I. Miranda Gómez, I. OLMO VALERIANO, M. MORENO VADILLO, J. Colado Domínguez, M.J. Sangüesa Nebot, J. DOMÉNECH FERNÁNDEZ","doi":"10.37315/sotocav20212865635","DOIUrl":null,"url":null,"abstract":"Introduction: hydatid cysts are produced by the Echinococcus granulosus parasite. The single location in the muscles is rare. The cystic mass can be confirmed by ultrasound or magnetic resonance imaging (MRI) and its differential diagnosis may be difficult. Material and method: We present a case with a tumorous mass in thigh with MRI report: \"encapsulated cystic lesion dependent on the biceps femoris, which contacts the sciatic neurovascular bundle, being the 1st diagnostic possibility hydatid cyst\". Mebendazole was prescribed and after a month the tumor was excised, which was not located within the muscle but rather pushing it, attached to the sciatic nerve. Diagnosis after anatomopathological study was sciatic schwannoma. Discussion and conclusion: on MRI, schwannomas are usually seen as a mass adhered and eccentric to a nerve, but they can present cystic degeneration mimicking hydatidic cyst; Faced with a single muscular or perimuscular cystic tumor, close to the neurovascular bundle, with negative systemic tests for parasite disease, the schwannoma should be taken into account in the differential diagnosis.","PeriodicalId":202353,"journal":{"name":"Revista Española de Cirugía Osteoarticular","volume":"57 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"TUMORACIÓN QUÍSTICA EN EL MUSLO: SCHWANNOMA DEL NERVIO CIÁTICO CON DIAGNÓSTICO INICIAL DE QUISTE HIDATÍDICO, UN CASO CLÍNICO\",\"authors\":\"A. MONÍS GARCÍA, I. Miranda Gómez, I. OLMO VALERIANO, M. MORENO VADILLO, J. Colado Domínguez, M.J. Sangüesa Nebot, J. DOMÉNECH FERNÁNDEZ\",\"doi\":\"10.37315/sotocav20212865635\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: hydatid cysts are produced by the Echinococcus granulosus parasite. The single location in the muscles is rare. The cystic mass can be confirmed by ultrasound or magnetic resonance imaging (MRI) and its differential diagnosis may be difficult. Material and method: We present a case with a tumorous mass in thigh with MRI report: \\\"encapsulated cystic lesion dependent on the biceps femoris, which contacts the sciatic neurovascular bundle, being the 1st diagnostic possibility hydatid cyst\\\". Mebendazole was prescribed and after a month the tumor was excised, which was not located within the muscle but rather pushing it, attached to the sciatic nerve. Diagnosis after anatomopathological study was sciatic schwannoma. Discussion and conclusion: on MRI, schwannomas are usually seen as a mass adhered and eccentric to a nerve, but they can present cystic degeneration mimicking hydatidic cyst; Faced with a single muscular or perimuscular cystic tumor, close to the neurovascular bundle, with negative systemic tests for parasite disease, the schwannoma should be taken into account in the differential diagnosis.\",\"PeriodicalId\":202353,\"journal\":{\"name\":\"Revista Española de Cirugía Osteoarticular\",\"volume\":\"57 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Española de Cirugía Osteoarticular\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.37315/sotocav20212865635\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Española de Cirugía Osteoarticular","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.37315/sotocav20212865635","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

简介:包虫病是由细粒棘球绦虫寄生虫产生的。肌肉的单一位置是罕见的。囊性肿块可通过超声或磁共振成像(MRI)确诊,其鉴别诊断可能很困难。材料和方法:我们报告1例大腿肿瘤肿块的MRI报告:“包裹性囊性病变依赖于股二头肌,与坐骨神经血管束接触,是第一个诊断包虫囊肿的可能性”。医生开了咪苯达唑,一个月后切除了肿瘤,肿瘤不在肌肉内,而是推动肌肉,附着在坐骨神经上。解剖病理诊断为坐骨神经鞘瘤。讨论与结论:在MRI上,神经鞘瘤通常表现为黏附和偏心的肿块,但也可以表现为类似包囊的囊变性;面对单个肌肉或肌周囊性肿瘤,靠近神经血管束,寄生虫病的全身检查阴性,神经鞘瘤应考虑在鉴别诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
TUMORACIÓN QUÍSTICA EN EL MUSLO: SCHWANNOMA DEL NERVIO CIÁTICO CON DIAGNÓSTICO INICIAL DE QUISTE HIDATÍDICO, UN CASO CLÍNICO
Introduction: hydatid cysts are produced by the Echinococcus granulosus parasite. The single location in the muscles is rare. The cystic mass can be confirmed by ultrasound or magnetic resonance imaging (MRI) and its differential diagnosis may be difficult. Material and method: We present a case with a tumorous mass in thigh with MRI report: "encapsulated cystic lesion dependent on the biceps femoris, which contacts the sciatic neurovascular bundle, being the 1st diagnostic possibility hydatid cyst". Mebendazole was prescribed and after a month the tumor was excised, which was not located within the muscle but rather pushing it, attached to the sciatic nerve. Diagnosis after anatomopathological study was sciatic schwannoma. Discussion and conclusion: on MRI, schwannomas are usually seen as a mass adhered and eccentric to a nerve, but they can present cystic degeneration mimicking hydatidic cyst; Faced with a single muscular or perimuscular cystic tumor, close to the neurovascular bundle, with negative systemic tests for parasite disease, the schwannoma should be taken into account in the differential diagnosis.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
期刊最新文献
Evaluación, tratamiento, complicaciones y controversias de las fracturas de calcáneo. Revisión de la literatura. Liberación endoscópica del nervio ciático en el síndrome del espacio subglúteo: técnica quirúrgica y serie de casos clínicos. Hernia discal dorsal juvenil en un niño de 12 años tras sobresfuerzo, a propósito de un caso clínico. Fractura de estrés sucesiva bilateral del 5th metatarsiano, en niño con metatarso aducto. Inyección intraarticular única de ácido hialurónico en la gonartrosis sintomática: estudio comparativo de la eficacia de dos presentaciones y cambio de protocolo.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1