Rare Presentation of Retroperitoneal Schwannoma: a Case Report

Saran Lotfollahzadeh; Khashayar Atqiaee; Farideh Adhamy; Mohammad  Mozaffar

International Journal of Cancer Management

The Official Journal of Cancer Research Center (CRC), Shahid Beheshti University of Medical Sciences

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Abstract
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Rare Presentation of Retroperitoneal Schwannoma: a Case Report

Author(s):

Saran Lotfollahzadeh¹,

Khashayar Atqiaee¹,

Farideh Adhamy¹,

Mohammad Mozaffar^1,*

1Dept. of General and Vascular Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

International Journal of Cancer Management:Vol. 7, issue 2; e80533

Published online:Jun 30, 2014

Article type:Case Report

Received:Jul 07, 2013

Accepted:Nov 20, 2013

How to Cite:Saran LotfollahzadehKhashayar AtqiaeeFarideh AdhamyMohammad MozaffarRare Presentation of Retroperitoneal Schwannoma: a Case Report.Int J Cancer Manag.7(2):e80533.

Abstract

The deadly Schwannomas, as uncommon subtype of soft tissue tumors originate from peripheral nerve sheaths. Retro peritoneum is an uncommon site for these tumors. Here we present the clinical feature and therapeutic implication of a 38-yearold man affected by recurrent retroperitoneal schwannoma who admitted to emergency ward following abdominal pain. Computed Tomorgraphic Scan showed a solid well-differentiated heterogeneous mass, 8.5 6 cm size in portahepatis beneath liver and right periumbilical .On laboratory tests Cancer Antigen 19-9 and Cancer Embryonic Antigen were in normal range. In surgery, a 7 8cm round mass was discovered at juxta renal juxta duodenal retro peritoneum, It was completely adhered to second part of duodenum with no signs of infiltration of the liver and right kidney, unable to simply being enucleated, curative resection was performed by classical whipple procedure. The patient`s hospitalization course was uneventful and on the second week he was discharged from the hospital with complete recovery. Due to the high recurrent rate of retroperitoneal Schwannomas even in benign circumstances, radical resection would be the treatment of choice.

Keywords

Schwannoma

Retroperitoneal neoplasm

Whipple procedure

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