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首页> 外文期刊>Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology >Conservative management of a pelvic Schwannoma presenting as an adnexal mass.
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Conservative management of a pelvic Schwannoma presenting as an adnexal mass.

机译：呈附件状的盆腔神经鞘瘤的保守治疗。

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摘要

A 32-year-old woman was booking in her second pregnancy having previously had an emergency caesarean section at term. The booking scan showed an 11-week intrauterine pregnancy together with a 73 mm smooth-walled, semi-solid mass in the right adnexum. A repeat scan 1 month later showed no change in size of the mass, and a single solid component was also noted inside it, therefore a laparotomy and ovarian cystectomy was planned for a presumed dermoid cyst.A laparotomy performed at 15 weeks' gestation showed normal bilateral ovaries and tubes. No mass was identified. After this negative laparotomy, no further investigation was planned. The patient had an uneventful elective caesarean section at term.She presented again 4 years later with a request for termination of an unplanned pregnancy (ToP). Her scan showed a 5-6 cm focal right adnexal mass of mixed echogenicity. Since she was asymptomatic, the ToP was performed and a magnetic resonance imaging (MRI) scan was arranged. The MRI scan identified an extra-peritoneal mass on the pelvic side wall with transverse dimensions of 6 x 6 cm and extending 10 cm craniocaudally (Figure 1). The features were consistent with an S[ nerve Schwannoma. The patient was symptom free and resection was anticipated to be difficult, probably requiring transection of the nerve. Therefore it was decided to manage the patient conservatively.
机译：一名32岁的妇女正在第二次怀孕时预约，此前她在足月时曾进行过紧急剖腹产。预订扫描显示，子宫内妊娠11周，右附件有73 mm的光滑壁半实性肿块。 1个月后重复扫描未见肿块大小改变，内部也未见单个固体成分，因此计划对假定的皮样囊肿行剖腹手术和卵巢膀胱切除术。妊娠15周时进行的剖腹手术显示正常双侧卵巢和输卵管。没有发现质量。阴性剖腹手术后，没有计划进一步的调查。该患者在足月期间进行了一次顺利的剖腹产手术.4年后，她再次提出要求终止计划外怀孕（ToP）。她的扫描显示混合回声性为5-6 cm的右附件附件包块。由于她没有症状，因此进行了ToP并安排了磁共振成像（MRI）扫描。 MRI扫描发现骨盆侧壁上的腹膜外肿块的横向尺寸为6 x 6 cm，并向尾颅延伸10 cm（图1）。特征与S神经神经鞘瘤一致。该患者无症状，预计切除很困难，可能需要切除神经。因此，决定保守治疗病人。

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