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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Main Authors: Ahmed Abu-Zaid, Ayman Azzam, Hussam Abou Al-Shaar, Abdullah M. Alshammari, Tarek Amin, Shamayel Mohammed
Format: Article
Language:English
Published: Wiley 2013-01-01
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.
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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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