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Updated: May 16, 2026

Intraoperative Ultrasound in Spinal Surgery
05:53

Intraoperative Ultrasound in Spinal Surgery

Published on: August 17, 2022

Presacral schwannoma.

A Makni1, F Fetirich, M Mbarek

  • 1Department of general surgery 'A', Faculty of Medecine of Tunis, Tunis El Manar University, La Rabta Hospital, 15, rue Djebel Akhdhar Jabbari, 1007 Tunis, Tunisia. aminmakni@msn.com

Journal of Visceral Surgery
|November 17, 2012
PubMed
Summary

Presacral schwannoma, a rare tumor, is diagnosed via digital exam, CT, and MRI. Surgical enucleation is the primary management strategy for this pelvic mass.

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Area of Science:

  • Oncology
  • Surgical Pathology
  • Medical Imaging

Background:

  • Presacral schwannoma is an uncommon neoplastic growth originating from nerve sheath cells.
  • Early detection and accurate diagnosis are crucial for effective management.
  • The rarity of these tumors presents diagnostic and therapeutic challenges.

Purpose of the Study:

  • To outline the diagnostic pathway for presacral schwannoma.
  • To discuss the primary surgical management of this condition.
  • To review the available diagnostic and treatment modalities.

Main Methods:

  • Initial diagnosis relies on physical examination, specifically pelvi-rectal digital assessment.
  • Computed Tomography (CT) scans are employed for initial imaging.
  • Magnetic Resonance Imaging (MRI) of the pelvis provides detailed anatomical information.

Main Results:

  • CT and pelvic MRI are essential for characterizing presacral schwannoma.
  • The utility of angiography and preoperative biopsy is still under consideration.
  • Surgical resection, typically involving enucleation, is the definitive treatment.

Conclusions:

  • Presacral schwannoma diagnosis involves a combination of clinical examination and advanced imaging.
  • Surgical enucleation is the standard approach for tumor removal.
  • Further research may clarify the roles of angiography and biopsy in management.

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