Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review
Pancreatic schwannomas are exceedingly uncommon neoplasms. According to a recent study in 2012, less than 50 cases of pancreatic schwannoma have been described in the English literature over the past thirty years. The vast majority of pancreatic schwannomas take place in the head and body of pancrea...
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Wiley
2013-01-01
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Series: | Case Reports in Oncological Medicine |
Online Access: | http://dx.doi.org/10.1155/2013/416713 |
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author | Ahmed Abu-Zaid Ayman Azzam Hussam Abou Al-Shaar Abdullah M. Alshammari Tarek Amin Shamayel Mohammed |
author_facet | Ahmed Abu-Zaid Ayman Azzam Hussam Abou Al-Shaar Abdullah M. Alshammari Tarek Amin Shamayel Mohammed |
author_sort | Ahmed Abu-Zaid |
collection | DOAJ |
description | Pancreatic schwannomas are exceedingly uncommon neoplasms. According to a recent study in 2012, less than 50 cases of pancreatic schwannoma have been described in the English literature over the past thirty years. The vast majority of pancreatic schwannomas take place in the head and body of pancreas, respectively. Herein, we report the case of pancreatic tail ancient schwannoma in a 44-year-old man who presented with a 4-month history of epigastric pain. On physical examination, epigastric region was moderately tender to palpation without evidence of a palpable mass. All laboratory tests were normal. Contrast-enhanced computed tomography (CT) scan showed a 9.2 × 9.5 × 11.5 cm, huge, and well-defined left suprarenal mass arising either from adrenal gland, pancreas, or retroperitoneum. The mass demonstrated mild heterogeneous enhancement with central cystic/necrotic area. No evidence of distant metastasis was identified. At laparoscopy, the mass was noticed to originate from pancreatic tail. Patient underwent surgical resection of pancreatic tail. Microscopic and immunohistochemical examination of the pancreatic tail specimen showed ancient schwannoma. Patient received no adjuvant therapy. At a postoperative 6-month followup, patient was completely asymptomatic and CT scan imaging showed no evidence of tumor recurrence. Moreover, a literature review on pancreatic schwannomas is presented. |
format | Article |
id | doaj-art-4c148a1ea07349c0807acadaebdc8a4d |
institution | Kabale University |
issn | 2090-6706 2090-6714 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Oncological Medicine |
spelling | doaj-art-4c148a1ea07349c0807acadaebdc8a4d2025-02-03T01:02:20ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/416713416713Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature ReviewAhmed Abu-Zaid0Ayman Azzam1Hussam Abou Al-Shaar2Abdullah M. Alshammari3Tarek Amin4Shamayel Mohammed5College of Medicine, Alfaisal University, P.O. Box 50927, Riyadh 11533, Saudi ArabiaDepartment of Surgical Oncology, King Faisal Specialist Hospital and Research Center (KFSH&RC), P.O. Box 3354, Riyadh 11211, Saudi ArabiaCollege of Medicine, Alfaisal University, P.O. Box 50927, Riyadh 11533, Saudi ArabiaCollege of Medicine, Alfaisal University, P.O. Box 50927, Riyadh 11533, Saudi ArabiaDepartment of Surgical Oncology, King Faisal Specialist Hospital and Research Center (KFSH&RC), P.O. Box 3354, Riyadh 11211, Saudi ArabiaDepartment of Pathology and Laboratory Medicine, King Faisal Specialist Hospital and Research Center (KFSH&RC), P.O. Box 3354, Riyadh 11211, Saudi ArabiaPancreatic schwannomas are exceedingly uncommon neoplasms. According to a recent study in 2012, less than 50 cases of pancreatic schwannoma have been described in the English literature over the past thirty years. The vast majority of pancreatic schwannomas take place in the head and body of pancreas, respectively. Herein, we report the case of pancreatic tail ancient schwannoma in a 44-year-old man who presented with a 4-month history of epigastric pain. On physical examination, epigastric region was moderately tender to palpation without evidence of a palpable mass. All laboratory tests were normal. Contrast-enhanced computed tomography (CT) scan showed a 9.2 × 9.5 × 11.5 cm, huge, and well-defined left suprarenal mass arising either from adrenal gland, pancreas, or retroperitoneum. The mass demonstrated mild heterogeneous enhancement with central cystic/necrotic area. No evidence of distant metastasis was identified. At laparoscopy, the mass was noticed to originate from pancreatic tail. Patient underwent surgical resection of pancreatic tail. Microscopic and immunohistochemical examination of the pancreatic tail specimen showed ancient schwannoma. Patient received no adjuvant therapy. At a postoperative 6-month followup, patient was completely asymptomatic and CT scan imaging showed no evidence of tumor recurrence. Moreover, a literature review on pancreatic schwannomas is presented.http://dx.doi.org/10.1155/2013/416713 |
spellingShingle | Ahmed Abu-Zaid Ayman Azzam Hussam Abou Al-Shaar Abdullah M. Alshammari Tarek Amin Shamayel Mohammed Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review Case Reports in Oncological Medicine |
title | Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review |
title_full | Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review |
title_fullStr | Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review |
title_full_unstemmed | Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review |
title_short | Pancreatic Tail Schwannoma in a 44-Year-Old Male: A Case Report and Literature Review |
title_sort | pancreatic tail schwannoma in a 44 year old male a case report and literature review |
url | http://dx.doi.org/10.1155/2013/416713 |
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