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Published on: July 20, 2014
Schwannoma in the retroperitoneum
Jae Yen Song1, Sue Yeon Kim, Eun Gyung Park
1Department of Obstetrics and Gynecology, College of Medicine, Catholic University of Korea, Seoul, Korea.
The Journal of Obstetrics and Gynaecology Research
|June 21, 2007
Summary
Giant schwannoma, a rare retroperitoneal tumor, can be misdiagnosed. Surgical resection is effective for this typically benign peripheral nerve sheath tumor with a low recurrence risk.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Schwannoma (neurilemmoma) is a common peripheral nerve sheath tumor, typically benign and solitary.
- Giant schwannomas are rare, with even rarer occurrences in the retroperitoneum and pelvic cavity.
- Symptoms are usually mass-related, and surgical resection is the standard treatment.
Observation:
- A case of a giant schwannoma in the retroperitoneum is presented.
- The tumor was preoperatively misdiagnosed as a malignant adnexal mass in a 60-year-old menopausal woman.
- This highlights diagnostic challenges with retroperitoneal masses.
Findings:
- Schwannomas are generally benign with a low risk of recurrence or metastasis, even with incomplete resection.
- Surgical resection is curative for schwannoma.
- Accurate preoperative diagnosis is crucial for appropriate management.
Implications:
- This case underscores the importance of considering benign peripheral nerve sheath tumors in the differential diagnosis of retroperitoneal masses.
- Improved diagnostic accuracy can prevent unnecessary aggressive treatments.
- Further literature review is warranted for rare presentations of schwannoma.