Adrenal nerve sheath tumor in 1 case report.docVIP

 PAGE \* MERGEFORMAT 4 Adrenal nerve sheath tumor in 1 case report [Keywords:] Adrenal Schwannoma 1 Clinical data Female patients, aged 60, left hypochondrium and left loin pain 7 years back repeatedly, adding half of 2001, the left hypochondrium unexplained feeling of pain, relieve themselves a few days later, several episodes per year, outside the hospital in 2005 area of #8203;#8203;left adrenal cystic masses, another attack two weeks ago, anti-infection does not get better after treatment, the patient has no incidence of urinary frequency, urgency, dysuria, no nausea, vomiting, diet, urine normal, no weight reduced. CT examination: plain scan shows left adrenal gland area saw a mixed cystic and solid lesions, border clearance. Nonuniform wall thickening was nodular partial broke into the capsule, capsule visible liquid - liquid layer, the lower half film was slightly higher density, enhanced scan showed a cyst wall enhancement, the left kidney was displaced downward pressure. retroperitoneal lymph node enlargement was no plan (1 ~ 2. Operative findings: After the success of anesthesia to take the right lateral position, larger cysts seen in patients with little surrounding tissue adhesion. Free to the adrenal surface, the cyst release of about 400 mL bloody fluid, embedded in the root folder completely cyst removal of adrenal cysts, some organizations closely connected with the cyst, with excision. adrenal tumor sent for pathological examination. Pathological findings: capsule wall thickness 0.1 ~ 0.3 cm, the surface of red sallow gray, grayish yellow cut surface, stroma. Pathologic results: schwannoma Figure (3 ~ 4. 2 Discussion Schwannomas occurred in the nerve sheath tumors, also known as Schwann tumor, derived from neuroectodermal Schwann cells. Adrenal adenoma or adrenal tumors, pheochromocytoma common than adrenal gland is a rare nerve sheath tumors. It belongs to cell nerve sheath tumors, from the adrenal sympathetic ne