Laparoscopic Resection of Appendiceal Schwannoma
Background. Schwannoma arises from Schwann’s cell of the neural sheath. Schwannoma of the large intestine, particularly of the appendix, is rare. We report a case of appendiceal schwannoma resected using laparoscopic surgery. Case Presentation. A 75-year-old man was referred to our hospital for abdo...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/9191503 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832548659764396032 |
|---|---|
| author | Toru Imagami Satoru Takayama Yohei Maeda Ryohei Matsui Masaki Sakamoto Hisanori Kani |
| author_facet | Toru Imagami Satoru Takayama Yohei Maeda Ryohei Matsui Masaki Sakamoto Hisanori Kani |
| author_sort | Toru Imagami |
| collection | DOAJ |
| description | Background. Schwannoma arises from Schwann’s cell of the neural sheath. Schwannoma of the large intestine, particularly of the appendix, is rare. We report a case of appendiceal schwannoma resected using laparoscopic surgery. Case Presentation. A 75-year-old man was referred to our hospital for abdominal fullness and nausea since 2 months. Abdominal CT revealed a well-demarcated oval mass of 25 mm at the tip of the appendix. Contrast-enhanced CT revealed a lesion with gradually enhanced contrast from the arterial phase to the equilibrium phase. Abdominal US revealed a well-demarcated hypoechoic tumor. Preoperative diagnosis indicated appendiceal mesenchymal or neuroendocrine tumor. Ileocecal resection with D3 lymph node dissection was performed. Pathological and immunohistochemical findings confirmed the diagnosis of appendiceal schwannoma. Conclusions. For determining the surgical procedure of nonepithelial tumor of the appendix, preoperative diagnosis of mesenchymal or neuroendocrine tumors is required. However, appendiceal schwannoma is extremely rare, and its characteristic findings have not yet been established. Accumulating cases of appendiceal schwannomas is necessary for improving imaging diagnosis and surgical treatment. |
| format | Article |
| id | doaj-art-1e1275af97734cda9606c04373a99aa9 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-1e1275af97734cda9606c04373a99aa92025-02-03T06:13:17ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/91915039191503Laparoscopic Resection of Appendiceal SchwannomaToru Imagami0Satoru Takayama1Yohei Maeda2Ryohei Matsui3Masaki Sakamoto4Hisanori Kani5Department of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai, Aichi 487-0016, JapanDepartment of Surgery, Nagoya Tokushukai General Hospital, 2-52 Kouzouji-cho kita, Kasugai, Aichi 487-0016, JapanBackground. Schwannoma arises from Schwann’s cell of the neural sheath. Schwannoma of the large intestine, particularly of the appendix, is rare. We report a case of appendiceal schwannoma resected using laparoscopic surgery. Case Presentation. A 75-year-old man was referred to our hospital for abdominal fullness and nausea since 2 months. Abdominal CT revealed a well-demarcated oval mass of 25 mm at the tip of the appendix. Contrast-enhanced CT revealed a lesion with gradually enhanced contrast from the arterial phase to the equilibrium phase. Abdominal US revealed a well-demarcated hypoechoic tumor. Preoperative diagnosis indicated appendiceal mesenchymal or neuroendocrine tumor. Ileocecal resection with D3 lymph node dissection was performed. Pathological and immunohistochemical findings confirmed the diagnosis of appendiceal schwannoma. Conclusions. For determining the surgical procedure of nonepithelial tumor of the appendix, preoperative diagnosis of mesenchymal or neuroendocrine tumors is required. However, appendiceal schwannoma is extremely rare, and its characteristic findings have not yet been established. Accumulating cases of appendiceal schwannomas is necessary for improving imaging diagnosis and surgical treatment.http://dx.doi.org/10.1155/2018/9191503 |
| spellingShingle | Toru Imagami Satoru Takayama Yohei Maeda Ryohei Matsui Masaki Sakamoto Hisanori Kani Laparoscopic Resection of Appendiceal Schwannoma Case Reports in Surgery |
| title | Laparoscopic Resection of Appendiceal Schwannoma |
| title_full | Laparoscopic Resection of Appendiceal Schwannoma |
| title_fullStr | Laparoscopic Resection of Appendiceal Schwannoma |
| title_full_unstemmed | Laparoscopic Resection of Appendiceal Schwannoma |
| title_short | Laparoscopic Resection of Appendiceal Schwannoma |
| title_sort | laparoscopic resection of appendiceal schwannoma |
| url | http://dx.doi.org/10.1155/2018/9191503 |
| work_keys_str_mv | AT toruimagami laparoscopicresectionofappendicealschwannoma AT satorutakayama laparoscopicresectionofappendicealschwannoma AT yoheimaeda laparoscopicresectionofappendicealschwannoma AT ryoheimatsui laparoscopicresectionofappendicealschwannoma AT masakisakamoto laparoscopicresectionofappendicealschwannoma AT hisanorikani laparoscopicresectionofappendicealschwannoma |