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Adrenal Schwannoma: A Case Report
Azwa Janjua1, Muhammad Zeeshan Sarwar1, Syed Asghar Naqi1
1Department of Surgery, East Surgical Ward, Mayo Hospital, King Edward Medical University, Lahore, Pakistan.
International Medical Case Reports Journal
|September 16, 2021
Summary
Adrenal gland schwannomas are rare tumors, often presenting as vague abdominal pain. This case highlights the need for histopathology to confirm diagnosis, as imaging is frequently inconclusive.
Area of Science:
- Endocrinology
- Surgical Oncology
- Pathology
Background:
- Schwannomas are rare neurogenic tumors, with adrenal gland involvement being exceptionally uncommon, accounting for only 0.2% of all adrenal neoplasms.
- Clinical presentation is often non-specific, with abdominal pain being the most frequent symptom, potentially delaying diagnosis.
Observation:
- A 50-year-old female presented with isolated right lumbar pain, prompting investigation.
- Imaging studies, including ultrasonography (USG) and computed tomography (CT), revealed a cystic suprarenal mass suggestive of adrenal origin.
Findings:
- Surgical excision of the adrenal mass was successfully performed with an uneventful postoperative recovery.
- Histopathological examination confirmed the presence of a benign schwannoma, originating from Schwann cells.
Implications:
- This case underscores the diagnostic challenges posed by adrenal schwannomas, where pre-operative imaging modalities like CT and MRI are often inconclusive.
- Definitive diagnosis relies heavily on post-operative histopathological analysis, emphasizing the importance of surgical resection for accurate characterization.
