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題 名 | Neurofibromatosis Type Ⅱ=神經纖維瘤症第二型 |
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作 者 | 涂朱慧; 邱顯清; | 書刊名 | 中華皮膚科醫學雜誌 |
卷 期 | 17:2 1999.06[民88.06] |
頁 次 | 頁172-177 |
分類號 | 415.78 |
關鍵詞 | 神經纖維瘤; Neurofibromatosis; Schwannoma; Cafe-au-lait spot; Lisch nodule; Posterior subcapsular cataract; |
語 文 | 英文(English) |
中文摘要 | 一位十一歲男孩最近於右邊臉頰出現一摸得到但看不到,界限分明的索狀結節。 另外從他二歲起,在頭皮、臉、軀幹及四肢共出現了十二個不同大小、肉色到淺棕色、半硬 的丘疹與結節。理學檢查沒有發現任何的牛奶咖啡斑、腋窩雀斑樣小斑、虹膜小結節或後囊 下白內障。此外,在過去也無聽力喪失或耳鳴的現象。核磁共震檢查,在兩側的內耳道可見 顯影清楚的結節。皮膚切片顯示神經鞘瘤之病理變化,因此診斷為一罕見的神經纖維瘤II 型。我們建議病人接受一年一次的腦脊髓核磁共振攝影,並定期在各相關科作追蹤檢查。 |
英文摘要 | An 11-year-old boy presented with a newly developed, well-defined, palpable but invisible, cord-like subcutaneous nodule over the right cheek. He also had exhibited totally 12 variously sized, flesh to light brownish. Semi-firm papules and nodules over the scalp, face, trunk and extremities since he was 2 years old. The physical examination failed to reveal any cafe-au-lait spot, axillary freckling, Lisch nodule or posterior subcapsular cataract. He never experienced hearing loss or tinnitus in the past. Magnetic resonance image study revealed nodular lesions in both internal ear canals. A biopsy of one of the skin lesions was interpreted as a schwannoma. A diagnosis of neurofibromatosis type 2 was made according to the current diagnostic criteria. The boy was suggested for annual magnetic resonance imaging of the brain and spine, and receiving regular, multidisciplinary check up. (Dermatol Sinica 17:172-177, 1999) |
本系統中英文摘要資訊取自各篇刊載內容。