[切除后疼痛明显缓解的肋间神经束瘤:一例病例报告]。

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-08-01
Kazumasa Nanjo, Shoji Sakiyama, Junko Honda, Hiroyuki Hino
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引用次数: 0

摘要

一名 80 岁的男性因主诉右侧胸痛而接受了胸部计算机断层扫描(CT)检查。结果在右侧第八肋间隙发现了一个胸壁肿瘤,与他的疼痛位置相对应。患者随后被转到我科接受进一步评估和治疗。通过单孔胸腔镜手术,肿瘤被成功切除。术中发现,肿瘤位于顶胸膜下方,与肋间神经毗连。组织病理分析确诊为源自肋间神经的分裂瘤。手术后,右侧胸痛明显减轻。随访期间未发现症状复发或复发。虽然胸壁分裂瘤在很多情况下没有症状,但在该病例中,与肿瘤部位相对应的局部疼痛非常明显。这强调了在胸痛的鉴别诊断中考虑分裂瘤的重要性。
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[Schwannoma of Intercostal Nerve Resulting in Significant Pain Relief Following Excision:Report of a Case].

An 80-year-old male underwent chest computed tomography (CT) due to complaints of right-sided chest pain. A chest wall tumor was identified in the right eighth intercostal space, corresponding to the location of his pain. The patient was subsequently referred to our department for further evaluation and treatment. Utilizing single-port thoracoscopic surgery, the tumor was successfully excised. Intraoperatively, the tumor was found beneath the parietal pleura, was contiguous with to the intercostal nerve. Histopathological analysis confirmed the diagnosis of schwannoma originating from the intercostal nerve. The right-sided chest pain was reduced after operation significantly. No recurrence or relapse of symptoms was observed during follow-up. Although schwannoma of the chest wall in asymptomatic in many cases, in this case, localized pain corresponding to the tumor site was evident. This emphasizes the importance of considering schwannoma in the differential diagnosis of chest pain.

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