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Peripancreatic schwannoma: A case report
Sumer Moussa1, Stephanie Cruz2, Mark Ingram2
1St. Joseph's University Medical Center, 703 Main St., Paterson, NJ 07503, United States; St. George's University School of Medicine, Grenada, West Indies.
International Journal of Surgery Case Reports
|May 22, 2021
Summary
Peripancreatic schwannomas are rare benign tumors. Early diagnosis and complete surgical resection are crucial for an excellent prognosis and to avoid unnecessary pancreatic surgery.
Area of Science:
- Oncology
- Gastroenterology
- Pathology
Background:
- Schwannomas are benign peripheral nerve sheath tumors.
- While typically found in extremities, head, and neck, rare pancreatic and peripancreatic schwannomas occur.
- These tumors can mimic other pancreatic lesions, complicating diagnosis.
Purpose of the Study:
- To report a case of incidental peripancreatic schwannoma.
- To highlight diagnostic challenges and management of peripancreatic schwannomas.
- To emphasize the importance of considering schwannoma in the differential diagnosis of pancreatic masses.
Main Methods:
- A 57-year-old male presented with an incidental peripancreatic mass.
- The mass was completely enucleated.
- Pathological and immunohistochemical analysis confirmed schwannoma (S100 protein positive).
Main Results:
- An asymptomatic 3.5 x 3.7 cm peripancreatic mass was incidentally discovered.
- Surgical enucleation was successful with an uneventful postoperative course.
- Histopathology confirmed a benign schwannoma.
Conclusions:
- Peripancreatic schwannomas are rare but should be considered in the differential diagnosis of pancreatic masses.
- Preoperative diagnosis can be challenging, often requiring pathological confirmation.
- Complete resection offers an excellent prognosis with minimal recurrence risk.
