大腿神経より発生した後腹膜神経鞘腫の1例

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  • A Case of Retroperitoneal Neurilemmoma Arising from the Femoral Nerve
  • 症例報告 大腿神経より発生した後腹膜神経鞘腫の1例
  • ショウレイ ホウコク ダイタイ シンケイ ヨリ ハッセイ シタ コウフクマク シンケイショウ シュ ノ 1レイ

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A 61-year-old woman was referred to our hospital because abdominal ultrasonography performed at a previous clinic during treatment for enteritis revealed a mass in the right lower abdomen. A retroperitoneal tumor between the iliac muscle and the greater psoas muscle was diagnosed by various examinations, and tumor resection was performed. The retroperitoneal tumor was identif ied by laparoscopy. A femoral nerve 7-mm in diameter extending above and below the tumor was conf irmed after removal of tissues surrounding the tumor, which led to the diagnosis of femoral neurilemmoma. Because there was no invasion of the tumor into the surrounding tissues, enucleation of the tumor was performed. Nerve f ibers in the surrounding tissues were preserved as far as possible, but the patient was required to perform rehabilitation exercises for postoperative perception and motor disorders. Few reports on the retroperitoneal neurilemmoma primary in the femoral nerve have been published. We report a case of retroperitoneal neurilemmoma in which laparoscopic surgery was useful for diagnosis and some literature reviews.

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