総肝動脈神経叢から発生した後腹膜神経鞘腫の1例

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  • A CASE OF SCHWANNOMA ARISING FROM THE NERVE PLEXUS AROUND THE COMMON HEPATIC ARTERY

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A 48-year-old woman was admitted to the hospital because of early gastric cancer (on the lesser curvature of the gastric body, 0-IIc) found at a medical checkup. Preoperative examination also revealed a solid pancreatic head tumor about 5 cm in diameter. Laboratory data were in normal limits except for slight anemia. She was operated on under the diagnosis of early gastric cancer and a solidpeudopapillary tumor of the pancreas. During the operation, the 6×3cm retroperitoneal tumor appeared to be arising from the nerve plexus around the common hepatic artery, with loose adhasions to the pancreas body. The tumor was excised and distal gastrectomy was performed. The retroperitoneal tumor was diagnosed as a schwannoma by intraoperative pathological examination and its gross appearance, so that extended operation was not performed. Retropritoneal schwannoma around the peripancreatic nerve plexus should be considered as a differential diagnosis of the pancreatic tumor.

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