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Особенности диагностики и хирургического лечения больных забрюшинными шванномами (обзор литературы)
Особенности диагностики и хирургического лечения больных забрюшинными шванномами (обзор литературы)
Бугаев В.Е., Никулин М.П., Меликов С.А. Особенности диагностики и хирургического лечения больных забрюшинными шванномами (обзор литературы). Современная Онкология. 2017; 19 (4): 28–35.
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Аннотация
Шванномы являются опухолями, исходящими из шванновских клеток оболочек периферических нервов. В большинстве случаев шванномы представляют собой доброкачественную опухоль, однако встречаются и злокачественные формы. Забрюшинная локализация является редкой формой шванномы. Низкая частота встречаемости забрюшинных шванном затрудняет выработку единых подходов диагностики, хирургического лечения и дальнейшего наблюдения этой группы больных. На предоперационном этапе определение злокачественного потенциала опухоли представляет сложности. Проведение иммуногистохимического исследования удаленной опухоли позволяет точно дифференцировать ее гистогенез и определить степень злокачественности. Радикальное хирургическое вмешательство является единственным методом лечения, позволяющим добиться оптимальных отдаленных результатов. Особенности анатомического расположения тазовых шванном обусловливают высокую частоту комбинированных резекций, а также значительные риски интраоперационной кровопотери.
В зависимости от распространенности опухолевого процесса при тазовой локализации дискутабельными остаются выбор оптимального оперативного доступа, необходимость в резекции крестца и нервов. При доброкачественной шванноме прогноз отдаленной выживаемости благоприятный, в то время как при злокачественной форме отмечается высокая частота рецидивов.
Ключевые слова: забрюшинная шваннома, тазовая шваннома, хирургическое лечение, прогноз.
Key words: retroperitoneal schwannoma, pelvic schwannoma, surgical treatment, prognosis.
В зависимости от распространенности опухолевого процесса при тазовой локализации дискутабельными остаются выбор оптимального оперативного доступа, необходимость в резекции крестца и нервов. При доброкачественной шванноме прогноз отдаленной выживаемости благоприятный, в то время как при злокачественной форме отмечается высокая частота рецидивов.
Ключевые слова: забрюшинная шваннома, тазовая шваннома, хирургическое лечение, прогноз.
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Key words: retroperitoneal schwannoma, pelvic schwannoma, surgical treatment, prognosis.
Полный текст
Список литературы
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10. Alfieri A, Campello M, Broger M et al. Low-back pain as the presenting sign in a patient with a giant, sacral cellular schwannoma: 10-year follow-up. J Neurosurg: Spine 2011; 14 (2): 167–71. DOI: 10.3171/2010. 10.spine1015.
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12. Klimo P, Rao G, Schmidt R et al. Nerve sheath tumors involving the sacrum. Neurosurgical Focus 2003; 15 (2): 1–6. DOI: 10.3171/foc.2003. 15.2.12.
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20. Hijioka S, Sawaki A, Mizuno N et al. Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of retroperitoneal schwannoma. Endoscopy 2010; 42 (S 02): E296. DOI: 10.1055/s-0030-1255786.
21. Theodosopoulos T, Stafyla V, Tsiantoula P et al. Special problems encountering surgical management of large retroperitoneal schwannomas. World J Surg Oncol 2008; 6 (1): 107. DOI: 10.1186/1477-7819-6-107.
22. Iwasaki M, Nakamura K, Takeshita K et al. Surgical Management of Giant Schwannoma in the Lumbosacral Region. J Spinal Dis. 1998; 11 (5): 444–7. DOI: 10.1097/00002517-199810000-00012.
23. Kinoshita T, Naganuma H, Ishii K et al. CT features of retroperitoneal neurilemmoma. Eur J Radiol 1998; 27 (1): 67–71. DOI: 10.1016/s0720-048x (97)00032-6.
24. Stepanova Iu.A., Grishankov S.A., Karel'skaia N.A. i dr. Neorgannaia zabriushinnaia shvannoma (klinicheskoe nabliudenie). Klin. praktika. 2016; 2: 58–66. [in Russian]
25. Hide I, Baudouin C, Murray S et al. Giant ancient schwannoma of the pelvis. Skeletal Radiol 2000; 29 (9): 538–42. DOI: 10.1007/s0025 60000266.
26. Walczak DA, Jaguscik R, Olborski B et al. Retroperitoneal «ancient» Schwannoma – a rare case of rare location: Case report and literature review. Pol Przegl Chir 2012; 84: 646–50.
27. Veliovits D, Fiska A, Zorbas G et al. Retroperitoneal schwannomas. Am J Case Reports 2012; 13: 244–6. DOI: 10.12659/ajcr.883494.
28. Isobe K, Shimizu T, Akahane T et al. Imaging of Ancient Schwannoma. Am J Roentgenol 2004; 183 (2): 331–6. DOI: 10.2214/ajr.183.2. 1830331.
29. Xu H, Sha N, Li HW et al. A giant pelvic malignant schwannoma: a case report and literature review. Int J Clin Exp Pathol 2015; 8 (11): 15363–8.
30. Hanada M, Tanaka T, Kanayama S et al. Malignant transformation of intrathoracic ancient neurilemoma in a patient without Von Recklinghausen's disease. Pathol Int 1982; 32 (3): 527–36. DOI: 10.1111/j.1440-1827.1982.tb01408.x.
31. Yousem S, Colby T, Urich H. Malignant epithelioid schwannoma arising in a benign schwannoma. A case report. Cancer 1985; 55 (12): 2799–803. DOI: 10.1002/1097-0142 (19850615)55: 12<2799: aid-cncr2820551214>3.0.co; 2-3.
32. Gupta T, Brasfield R, Strong E et al. Benign solitary schwannomas (neurilemomas). Cancer 1969; 24 (2): 355–66. DOI: 10.1002/1097-0142 (196908)24:2<355:aid-cncr2820240218>3.0.co; 2-2.
33. Kuriakose S, Vikram S, Salih S et al. Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature. Case Reports Med 2014; 2014: 1–5. DOI: 10.1155/2014/ 781347.
34. Okuyama T, Tagaya N, Saito K et al. Laparoscopic resection of a retroperitoneal pelvic schwannoma. J Surg Case Reports 2014; 2014 (1): rjt122-rjt122. DOI: 10.1093/jscr/rjt122.
35. Chen W, Dang C, Zhu K et al. Preoperative management of giant retroperitoneal schwannoma: A case report and review of the literature. Oncology Letters 2016. DOI: 10.3892/ol.2016.4543.
36. Misra M, Bhattacharjee H, Hemal A et al. Laparoscopic Management of Rare Retroperitoneal Tumors. Surg Laparoscopy, Endoscopy Percutaneous Techniq 2010; 20 (3): e117-e122. DOI: 10.1097/sle.0b013 e3181df2286.
37. Tsar'kov P.V., Efetov S.K., Tulina I.A. i dr. Tekhnika rezektsii kresttsa pri kombinirovannykh operatsiiakh po povodu mestnorasprostranennogo raka priamoi kishki. Ros. zhurn. gastroenterol. gepatol. koloproktol. 2016; 26 (5): 92–8. [in Russian]
38. Ningshu L, Min Y, Xieqiao Y et al. Laparoscopic Management of Obturator Nerve Schwannomas. Surgl Laparoscopy, Endoscopy Percutaneous Techniq 2012; 22 (2): 143–7. DOI: 10.1097/sle.0b013e 3182478870.
39. Park N, Chong G, Lee Y. Laparoscopic Resection of Schwannoma in the Anomaly of Obturator Nerve. J Laparoendoscopic Advanced Surg Techniq 2007; 17 (6): 769–74. DOI: 10.1089/lap.2006.0169.
40. De Sousa A, Frydenberg M. Giant obturator schwannoma: an unusual finding in a patient with prostate cancer. ANZ J Surg 2012; 82 (11): 853–4. DOI: 10.1111/j.1445-2197.2012.06278.x.
41. Takahashi H, Hara M, Tsuboi K et al. Laparoscopically resected obturator nerve schwannoma: A case report. Asian J Endoscopic Surg 2016; 9 (4): 307–10. DOI: 10.1111/ases.12291.
42. Surendrababu N, Cherian S, Janakiraman R et al. Large retroperitoneal schwannoma mimicking a cystic ovarian mass in a patient with Hansen's disease. J Clin Ultrasound 2008; 36 (5): 318–20. DOI: 10.1002/jcu.20392.
43. Hidaka E, Ishiyama Y, Maeda C et al. Laparoscopic Extirpation of a Schwannoma in the Lateral Pelvic Space. Case Reports Surg 2016; 2016: 1–4. DOI: 10.1155/2016/1351282.
44. Fris T, Friis-Andersen H. Benign sacral schwannomas – a case and short review of the literature. Brit J Neurosurg 2015; 29 (4): 595–6. DOI: 10.3109/02688697.2015.1019416.
45. Wei G, Xiaodong T, Yi Y et al. Strategy of Surgical Treatment of Sacral Neurogenic Tumors. Spine 2009; 34 (23): 2587–92. DOI: 10.1097/brs.0b013e3181bd4a2b.
46. Buchs N, Taylor S, Roche B. The posterior approach for low retrorectal tumors in adults. Int J Colorectal Dis 2006; 22 (4): 381–5. DOI: 10.1007/s00384-006-0183-9.
47. Samarakoon L, Weerasekera A, Sanjeewa R et al. Giant presacral schwannoma presenting with constipation: a case report. J Med Case Reports 2012; 6 (1). DOI: 10.1186/1752-1947-6-285.
48. Yang C, Chen H, Chen C. Endoscopic resection of a presacral schwannoma. J Neurosurg: Spine 2007; 7 (1): 86–9. DOI: 10.3171/spi-07/07/086.
49. Cody H, Marcove R, Quan S. Malignant retrorectal tumors. Dis Colon Rectum 1981; 24 (7): 501–6. DOI: 10.1007/bf02604308.
50. Hassan I, Wietfeldt E. Presacral Tumors: Diagnosis and Management. Clin Colon Rectal Surg 2009; 22 (02): 084–93. DOI: 10.1055/s-0029-1223839.
51. Jackson R, Gokaslan Z. Spinal – pelvic fixation in patients with lumbosacral neoplasms. J Neurosurg: Spine 2000; 92 (1): 61–70. DOI: 10.3171/spi.2000.92.1.0061.
52. Jao S, Beart R, Spencer R et al. Retrorectal tumors. Dis Colon Rectum 1985; 28 (9): 644–52. DOI: 10.1007/bf02553440.
53. Ahuja S, McCanna S, Horn E. Treatment strategy for chondromyxoid fibroma of the sacrum. J Clin Neurosci 2011; 18 (11): 1550–2. DOI: 10.1016/j.jocn.2011.02.040.
54. Konstantinidis K, Theodoropoulos G, Sambalis G et al. Laparoscopic Resection of Presacral Schwannomas. Surg Laparoscopy, Endoscopy Percutaneous Techniq 2005; 15 (5): 302–4. DOI: 10.1097/01.sle .0000183252.96808.78.
55. MacCarty C, Waugh J, Coventry M et al. Surgical Treatment of Sacral and Presacral Tumors Other Than Sacrococcygeal Chordoma. J Neurosurg 1965; 22 (5): 458–64. DOI: 10.3171/jns.1965.22.5.0458.
56. Fourney D, Rhines L, Hentschel S et al. En bloc resection of primary sacral tumors: classification of surgical approaches and outcome. J Neurosurg: Spine 2005; 3 (2): 111–22. DOI: 10.3171/spi.2005.3.2.0111.
57. Bose B. Primary malignant retroperitoneal tumours: Analysis of 30 cases. Can J Surg 1979; 22: 215–20.
58. Pinson C. Long-term results with primary retroperitoneal tumors. Arch Surg 1989; 124 (10): 1168. DOI: 10.1001/archsurg.1989. 01410100070012.
59. Zhou H, Zhou Z, Liang J et al. Clinical analysis of 53 cases of retroperitoneal schwannoma. Zhonghua Zhong Liu Za Zhi 2014 36 (11): 867–70.
60. Kapan M, Önder A, Gümüş M et al. Retroperitoneal schwannoma. J Surg Case Reports 2011; 2011 (10): 1–1. DOI: 10.1093/jscr/2011.10.1.
61. Maleux G, Lambrechts P, Oyen R. Retroperitoneal schwannoma. J Belge Radiol 1995; 78: 218–19.
62. Çağlı S, Işık H, Yıldırım U et al. Giant sacral schwannomas. J Neuro-Oncology 2012; 110 (1): 105–10. DOI: 10.1007/s11060-012-0941-1.
63. Pongsthorn C, Ozawa H, Aizawa T et al. Giant sacral schwannoma: A report of six cases. Upsala J Med Sci 2009; 115 (2): 146–52. DOI: 10.3109/03009730903359674.
64. Togral G, Arikan M, Hasturk AE et al. Incidentally diagnosed giant invasive sacral schwannoma. Its clinical features and surgical management without stability. Neurosciences (Riyadh) 2014; 19 (3): 224–8.
65. Regan J, Juler G, Schmutzer K. Retroperitoneal neurilemoma. Am J Surg 1977; 134 (1): 140–5. DOI: 10.1016/0002-9610 (77)90297-5.
66. Andonian S, Karakiewicz P, Herr H. Presacral cystic schwannoma in a man. Urology 2003; 62 (3): 551. DOI: 10.1016/s0090-4295 (03)00481-3.
67. Abernathey C, Onofrio B, Scheithauer B et al. Surgical management of giant sacral schwannomas. J Neurosurg 1986; 65 (3): 286–95. DOI: 10.3171/jns.1986.65.3.0286.
68. Das Gupta TK, Brasfield RD, Strong EW et al. Benign solitary Schwannoma. Cancer 1993; 72 (2): 513–4.
2. Knight D, Birch R, Pringle J. Benign solitary schwannomas: A Review of 234 Cases. J Bone Joint Surg 2007; 89-B (3): 382–7. DOI:10.1302/ 0301-620x.89b3.18123.
3. Patocskai EJ, Tabatabaian M, Thomas MJ. Cellular schwannoma: a rare presacral tumour. Can J Surg 2002; 45 (2): 141–4.
4. Daneshmand S, Youssefzadeh D, Chamie K et al. Benign retroperitoneal schwannoma: a case series and review of the literature. Urology 2003; 62 (6): 993–7. DOI: 10.1016/s0090-4295(03)00792-1.
5. Li Q, Gao C, Juzi J et al. Analysis of 82 cases of retroperitoneal schwannoma. ANZ J Surg 2007; 77 (4): 237–40. DOI:10.1111/j.1445-2197.2007 .04025.x.
6. Song J, Kim S, Park E et al. Schwannoma in the retroperitoneum. J Obstet Gynaecol Res 2007; 33 (3): 371–5. DOI:10.1111/j.1447-0756.2007. 00539.x.
7. Меликов C.А. Нейрогенные опухоли забрюшинного пространства: современные методы диагностики и лечения. Дис. … канд. мед. наук. М., 2012. / Melikov C.A. Neirogennye opukholi zabriushinnogo prostranstva: sovremennye metody diagnostiki i lecheniia. Dis. … kand. med. nauk. M., 2012. [in Russian]
8. Sridhar K, Ramamurthi R, Vasudevan M et al. Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg: Spine 2001; 94 (2): 210–5. DOI: 10.3171/spi.2001.94.2.0210.
9. Ozdemir N, Bezircioglu H, Akar O. Giant erosive spinal schwannomas: surgical management. Brit J Neurosurg 2010; 24 (5): 526–31. DOI: 10.3109/02688697.2010.487129.
10. Alfieri A, Campello M, Broger M et al. Low-back pain as the presenting sign in a patient with a giant, sacral cellular schwannoma: 10-year follow-up. J Neurosurg: Spine 2011; 14 (2): 167–71. DOI: 10.3171/2010. 10.spine1015.
11. Park S, Chung S, Choe G et al. Spinal Intraosseous Schwannoma: A Case Report and Review. J Korean Neurosurgical Soc 2009; 46 (4): 403. DOI: 10.3340/jkns.2009.46.4.403.
12. Klimo P, Rao G, Schmidt R et al. Nerve sheath tumors involving the sacrum. Neurosurgical Focus 2003; 15 (2): 1–6. DOI: 10.3171/foc.2003. 15.2.12.
13. Dominguez J, Lobato RD, Ramos A et al. Giant intrasacral schwannomas: Report of six cases. Acta Neurochirurgica 1997; 139 (10): 954–60. DOI: 10.1007/bf01411305.
14. Тищенко А.М., Скорый Д.И., Смачило Р.М. Шваннома забрюшинного пространства – диагностическая загадка для хирурга. Клин. онкология. 2016; 1 (21): 3–5. / Tishchenko A.M., Skoryi D.I., Smachilo R.M. Shvannoma zabriushinnogo prostranstva – diagnosticheskaia zagadka dlia khirurga. Klin. onkologiia. 2016; 1 (21): 3–5. [in Russian]
15. Kalaycı M, Akyüz U, Demirağ A et al. Retroperitoneal Schwannoma: A Rare Case. Case Reports Gastrointestinal Med 2011; 2011: 1–3. DOI: 10.1155/2011/465062.
16. Hughes M, Thomas J, Fisher C et al. Imaging features of retroperitoneal and pelvic schwannomas. Clin Radiol 2005; 60 (8): 886–93. DOI: 10.1016/j.crad.2005.01.016.
17. Choudry H, Nikfarjam M, Liang J et al. Diagnosis and management of retroperitoneal ancient schwannomas. World J Surg Oncol 2009; 7 (1): 12. DOI: 10.1186/1477-7819-7-12.
18. Soderlund V, Goranson H, Bauer H. MR imaging of benign peripheral nerve sheath tumors. Acta Radiologica 1994; 35 (3): 282–6. DOI: 10.3109/02841859409172383.
19. Hayasaka K, Tanaka Y, Soeda S et al. MR Findings in Primary Retroperitoneal Schwannoma. Acta Radiologica 1999; 40 (1): 78–82. DOI: 10.1080/02841859909174408.
20. Hijioka S, Sawaki A, Mizuno N et al. Endoscopic ultrasound-guided fine-needle aspiration for the diagnosis of retroperitoneal schwannoma. Endoscopy 2010; 42 (S 02): E296. DOI: 10.1055/s-0030-1255786.
21. Theodosopoulos T, Stafyla V, Tsiantoula P et al. Special problems encountering surgical management of large retroperitoneal schwannomas. World J Surg Oncol 2008; 6 (1): 107. DOI: 10.1186/1477-7819-6-107.
22. Iwasaki M, Nakamura K, Takeshita K et al. Surgical Management of Giant Schwannoma in the Lumbosacral Region. J Spinal Dis. 1998; 11 (5): 444–7. DOI: 10.1097/00002517-199810000-00012.
23. Kinoshita T, Naganuma H, Ishii K et al. CT features of retroperitoneal neurilemmoma. Eur J Radiol 1998; 27 (1): 67–71. DOI: 10.1016/s0720-048x (97)00032-6.
24. Степанова Ю.А., Гришанков С.А., Карельская Н.А. и др. Неорганная забрюшинная шваннома (клиническое наблюдение). Клин. практика. 2016; 2: 58–66. / Stepanova Iu.A., Grishankov S.A., Karel'skaia N.A. i dr. Neorgannaia zabriushinnaia shvannoma (klinicheskoe nabliudenie). Klin. praktika. 2016; 2: 58–66. [in Russian]
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26. Walczak DA, Jaguscik R, Olborski B et al. Retroperitoneal «ancient» Schwannoma – a rare case of rare location: Case report and literature review. Pol Przegl Chir 2012; 84: 646–50.
27. Veliovits D, Fiska A, Zorbas G et al. Retroperitoneal schwannomas. Am J Case Reports 2012; 13: 244–6. DOI: 10.12659/ajcr.883494.
28. Isobe K, Shimizu T, Akahane T et al. Imaging of Ancient Schwannoma. Am J Roentgenol 2004; 183 (2): 331–6. DOI: 10.2214/ajr.183.2. 1830331.
29. Xu H, Sha N, Li HW et al. A giant pelvic malignant schwannoma: a case report and literature review. Int J Clin Exp Pathol 2015; 8 (11): 15363–8.
30. Hanada M, Tanaka T, Kanayama S et al. Malignant transformation of intrathoracic ancient neurilemoma in a patient without Von Recklinghausen's disease. Pathol Int 1982; 32 (3): 527–36. DOI: 10.1111/j.1440-1827.1982.tb01408.x.
31. Yousem S, Colby T, Urich H. Malignant epithelioid schwannoma arising in a benign schwannoma. A case report. Cancer 1985; 55 (12): 2799–803. DOI: 10.1002/1097-0142 (19850615)55: 12<2799: aid-cncr2820551214>3.0.co; 2-3.
32. Gupta T, Brasfield R, Strong E et al. Benign solitary schwannomas (neurilemomas). Cancer 1969; 24 (2): 355–66. DOI: 10.1002/1097-0142 (196908)24:2<355:aid-cncr2820240218>3.0.co; 2-2.
33. Kuriakose S, Vikram S, Salih S et al. Unique Surgical Issues in the Management of a Giant Retroperitoneal Schwannoma and Brief Review of Literature. Case Reports Med 2014; 2014: 1–5. DOI: 10.1155/2014/ 781347.
34. Okuyama T, Tagaya N, Saito K et al. Laparoscopic resection of a retroperitoneal pelvic schwannoma. J Surg Case Reports 2014; 2014 (1): rjt122-rjt122. DOI: 10.1093/jscr/rjt122.
35. Chen W, Dang C, Zhu K et al. Preoperative management of giant retroperitoneal schwannoma: A case report and review of the literature. Oncology Letters 2016. DOI: 10.3892/ol.2016.4543.
36. Misra M, Bhattacharjee H, Hemal A et al. Laparoscopic Management of Rare Retroperitoneal Tumors. Surg Laparoscopy, Endoscopy Percutaneous Techniq 2010; 20 (3): e117-e122. DOI: 10.1097/sle.0b013 e3181df2286.
37. Царьков П.В., Ефетов С.К., Тулина И.А. и др. Техника резекции крестца при комбинированных операциях по поводу местнораспространенного рака прямой кишки. Рос. журн. гастроэнтерол. гепатол. колопроктол. 2016; 26 (5): 92–8. / Tsar'kov P.V., Efetov S.K., Tulina I.A. i dr. Tekhnika rezektsii kresttsa pri kombinirovannykh operatsiiakh po povodu mestnorasprostranennogo raka priamoi kishki. Ros. zhurn. gastroenterol. gepatol. koloproktol. 2016; 26 (5): 92–8. [in Russian]
38. Ningshu L, Min Y, Xieqiao Y et al. Laparoscopic Management of Obturator Nerve Schwannomas. Surgl Laparoscopy, Endoscopy Percutaneous Techniq 2012; 22 (2): 143–7. DOI: 10.1097/sle.0b013e 3182478870.
39. Park N, Chong G, Lee Y. Laparoscopic Resection of Schwannoma in the Anomaly of Obturator Nerve. J Laparoendoscopic Advanced Surg Techniq 2007; 17 (6): 769–74. DOI: 10.1089/lap.2006.0169.
40. De Sousa A, Frydenberg M. Giant obturator schwannoma: an unusual finding in a patient with prostate cancer. ANZ J Surg 2012; 82 (11): 853–4. DOI: 10.1111/j.1445-2197.2012.06278.x.
41. Takahashi H, Hara M, Tsuboi K et al. Laparoscopically resected obturator nerve schwannoma: A case report. Asian J Endoscopic Surg 2016; 9 (4): 307–10. DOI: 10.1111/ases.12291.
42. Surendrababu N, Cherian S, Janakiraman R et al. Large retroperitoneal schwannoma mimicking a cystic ovarian mass in a patient with Hansen's disease. J Clin Ultrasound 2008; 36 (5): 318–20. DOI: 10.1002/jcu.20392.
43. Hidaka E, Ishiyama Y, Maeda C et al. Laparoscopic Extirpation of a Schwannoma in the Lateral Pelvic Space. Case Reports Surg 2016; 2016: 1–4. DOI: 10.1155/2016/1351282.
44. Fris T, Friis-Andersen H. Benign sacral schwannomas – a case and short review of the literature. Brit J Neurosurg 2015; 29 (4): 595–6. DOI: 10.3109/02688697.2015.1019416.
45. Wei G, Xiaodong T, Yi Y et al. Strategy of Surgical Treatment of Sacral Neurogenic Tumors. Spine 2009; 34 (23): 2587–92. DOI: 10.1097/brs.0b013e3181bd4a2b.
46. Buchs N, Taylor S, Roche B. The posterior approach for low retrorectal tumors in adults. Int J Colorectal Dis 2006; 22 (4): 381–5. DOI: 10.1007/s00384-006-0183-9.
47. Samarakoon L, Weerasekera A, Sanjeewa R et al. Giant presacral schwannoma presenting with constipation: a case report. J Med Case Reports 2012; 6 (1). DOI: 10.1186/1752-1947-6-285.
48. Yang C, Chen H, Chen C. Endoscopic resection of a presacral schwannoma. J Neurosurg: Spine 2007; 7 (1): 86–9. DOI: 10.3171/spi-07/07/086.
49. Cody H, Marcove R, Quan S. Malignant retrorectal tumors. Dis Colon Rectum 1981; 24 (7): 501–6. DOI: 10.1007/bf02604308.
50. Hassan I, Wietfeldt E. Presacral Tumors: Diagnosis and Management. Clin Colon Rectal Surg 2009; 22 (02): 084–93. DOI: 10.1055/s-0029-1223839.
51. Jackson R, Gokaslan Z. Spinal – pelvic fixation in patients with lumbosacral neoplasms. J Neurosurg: Spine 2000; 92 (1): 61–70. DOI: 10.3171/spi.2000.92.1.0061.
52. Jao S, Beart R, Spencer R et al. Retrorectal tumors. Dis Colon Rectum 1985; 28 (9): 644–52. DOI: 10.1007/bf02553440.
53. Ahuja S, McCanna S, Horn E. Treatment strategy for chondromyxoid fibroma of the sacrum. J Clin Neurosci 2011; 18 (11): 1550–2. DOI: 10.1016/j.jocn.2011.02.040.
54. Konstantinidis K, Theodoropoulos G, Sambalis G et al. Laparoscopic Resection of Presacral Schwannomas. Surg Laparoscopy, Endoscopy Percutaneous Techniq 2005; 15 (5): 302–4. DOI: 10.1097/01.sle .0000183252.96808.78.
55. MacCarty C, Waugh J, Coventry M et al. Surgical Treatment of Sacral and Presacral Tumors Other Than Sacrococcygeal Chordoma. J Neurosurg 1965; 22 (5): 458–64. DOI: 10.3171/jns.1965.22.5.0458.
56. Fourney D, Rhines L, Hentschel S et al. En bloc resection of primary sacral tumors: classification of surgical approaches and outcome. J Neurosurg: Spine 2005; 3 (2): 111–22. DOI: 10.3171/spi.2005.3.2.0111.
57. Bose B. Primary malignant retroperitoneal tumours: Analysis of 30 cases. Can J Surg 1979; 22: 215–20.
58. Pinson C. Long-term results with primary retroperitoneal tumors. Arch Surg 1989; 124 (10): 1168. DOI: 10.1001/archsurg.1989. 01410100070012.
59. Zhou H, Zhou Z, Liang J et al. Clinical analysis of 53 cases of retroperitoneal schwannoma. Zhonghua Zhong Liu Za Zhi 2014 36 (11): 867–70.
60. Kapan M, Önder A, Gümüş M et al. Retroperitoneal schwannoma. J Surg Case Reports 2011; 2011 (10): 1–1. DOI: 10.1093/jscr/2011.10.1.
61. Maleux G, Lambrechts P, Oyen R. Retroperitoneal schwannoma. J Belge Radiol 1995; 78: 218–19.
62. Çağlı S, Işık H, Yıldırım U et al. Giant sacral schwannomas. J Neuro-Oncology 2012; 110 (1): 105–10. DOI: 10.1007/s11060-012-0941-1.
63. Pongsthorn C, Ozawa H, Aizawa T et al. Giant sacral schwannoma: A report of six cases. Upsala J Med Sci 2009; 115 (2): 146–52. DOI: 10.3109/03009730903359674.
64. Togral G, Arikan M, Hasturk AE et al. Incidentally diagnosed giant invasive sacral schwannoma. Its clinical features and surgical management without stability. Neurosciences (Riyadh) 2014; 19 (3): 224–8.
65. Regan J, Juler G, Schmutzer K. Retroperitoneal neurilemoma. Am J Surg 1977; 134 (1): 140–5. DOI: 10.1016/0002-9610 (77)90297-5.
66. Andonian S, Karakiewicz P, Herr H. Presacral cystic schwannoma in a man. Urology 2003; 62 (3): 551. DOI: 10.1016/s0090-4295 (03)00481-3.
67. Abernathey C, Onofrio B, Scheithauer B et al. Surgical management of giant sacral schwannomas. J Neurosurg 1986; 65 (3): 286–95. DOI: 10.3171/jns.1986.65.3.0286.
68. Das Gupta TK, Brasfield RD, Strong EW et al. Benign solitary Schwannoma. Cancer 1993; 72 (2): 513–4.
________________________________________________
2. Knight D, Birch R, Pringle J. Benign solitary schwannomas: A Review of 234 Cases. J Bone Joint Surg 2007; 89-B (3): 382–7. DOI:10.1302/ 0301-620x.89b3.18123.
3. Patocskai EJ, Tabatabaian M, Thomas MJ. Cellular schwannoma: a rare presacral tumour. Can J Surg 2002; 45 (2): 141–4.
4. Daneshmand S, Youssefzadeh D, Chamie K et al. Benign retroperitoneal schwannoma: a case series and review of the literature. Urology 2003; 62 (6): 993–7. DOI: 10.1016/s0090-4295(03)00792-1.
5. Li Q, Gao C, Juzi J et al. Analysis of 82 cases of retroperitoneal schwannoma. ANZ J Surg 2007; 77 (4): 237–40. DOI:10.1111/j.1445-2197.2007 .04025.x.
6. Song J, Kim S, Park E et al. Schwannoma in the retroperitoneum. J Obstet Gynaecol Res 2007; 33 (3): 371–5. DOI:10.1111/j.1447-0756.2007. 00539.x.
7. Melikov C.A. Neirogennye opukholi zabriushinnogo prostranstva: sovremennye metody diagnostiki i lecheniia. Dis. … kand. med. nauk. M., 2012. [in Russian]
8. Sridhar K, Ramamurthi R, Vasudevan M et al. Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg: Spine 2001; 94 (2): 210–5. DOI: 10.3171/spi.2001.94.2.0210.
9. Ozdemir N, Bezircioglu H, Akar O. Giant erosive spinal schwannomas: surgical management. Brit J Neurosurg 2010; 24 (5): 526–31. DOI: 10.3109/02688697.2010.487129.
10. Alfieri A, Campello M, Broger M et al. Low-back pain as the presenting sign in a patient with a giant, sacral cellular schwannoma: 10-year follow-up. J Neurosurg: Spine 2011; 14 (2): 167–71. DOI: 10.3171/2010. 10.spine1015.
11. Park S, Chung S, Choe G et al. Spinal Intraosseous Schwannoma: A Case Report and Review. J Korean Neurosurgical Soc 2009; 46 (4): 403. DOI: 10.3340/jkns.2009.46.4.403.
12. Klimo P, Rao G, Schmidt R et al. Nerve sheath tumors involving the sacrum. Neurosurgical Focus 2003; 15 (2): 1–6. DOI: 10.3171/foc.2003. 15.2.12.
13. Dominguez J, Lobato RD, Ramos A et al. Giant intrasacral schwannomas: Report of six cases. Acta Neurochirurgica 1997; 139 (10): 954–60. DOI: 10.1007/bf01411305.
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Авторы
В.Е.Бугаев*, М.П.Никулин, С.А.Меликов
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н.Блохина» Минздрава России. 115478, Россия, Москва, Каширское ш., д. 23
*vladbugaev@mail.ru
N.N.Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation. 115478, Russian Federation, Moscow, Kashirskoe sh., d. 23
*vladbugaev@mail.ru
ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н.Блохина» Минздрава России. 115478, Россия, Москва, Каширское ш., д. 23
*vladbugaev@mail.ru
________________________________________________
N.N.Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation. 115478, Russian Federation, Moscow, Kashirskoe sh., d. 23
*vladbugaev@mail.ru
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