胰腺钩突部神经鞘瘤一例并文献复习

A Case of Schwannoma in the Uncinate Process of the Pancreas with Literature Review

摘要: 目的：探讨胰腺神经鞘瘤的临床病理特征、鉴别诊断及治疗方案。方法：回顾性分析大理大学第一附属医院病理科诊断的一例胰腺神经鞘瘤患者的临床病理资料，同时复习相关文献。结果：胰腺神经鞘瘤是一种发生在胰腺罕见的良性肿瘤，任何年龄均可发病，女性多于男性，临床诊断存在困难，容易误诊，最终确诊需综合临床表现、影像学资料以及病理学特点。结论：发生于胰腺的神经鞘瘤临床少见，发病率低，术中冰冻明确诊断有助于优化手术方式的选择，从而避免不必要的器官切除，提高患者的术后生活质量。

Abstract: Objective: To explore the clinicopathological features, differential diagnosis, and treatment options for pancreatic schwannoma. Methods: The clinicopathological data of a patient with pancreatic schwannoma diagnosed by the Department of Pathology at the First Affiliated Hospital of Dali University were retrospectively analyzed, along with a review of relevant literature. Results: Pancreatic schwannoma is a rare benign tumor occurring in the pancreas. It can occur at any age, with a higher incidence in females than in males. Clinical diagnosis is challenging and prone to misdiagnosis. Definitive diagnosis requires integrating clinical manifestations, imaging findings, and pathological characteristics. Conclusion: Schwannoma occurring in the pancreas is clinically uncommon and has a low incidence rate. Obtaining a definitive diagnosis via intraoperative frozen section examination aids in optimizing the choice of surgical approach. This helps avoid unnecessary organ resection and improves the patient’s postoperative quality of life.