Case Report
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Retroperitoneal Ancient Schwannoma: A Case Report And Review Of Literature

Year 2017, Volume: 8 Issue: 2, 58 - 61, 13.04.2017
https://doi.org/10.22312/sdusbed.266081

Abstract

Ancient
Schwannomas are rare schwannoma variants originating from perineural Schwann
cells. These tumors are termed “ancient” based on the degenerative features they
indicated which is attributed to increasing age. They are accepted as benign,
slow growing tumors  mostly detected
incidentally. Some tumors may be mistakenly termed malignant if they
demonstrate nuclear atypia. Retroperitoneal schwannomas account for only 0.5%
to 5% of all cases and are extremely uncommon. As they are well encapsulated, recurrences
following complete surgical excision are uncommon.



We
present here a case of retroperitoneal ancient schwannoma and review this rare
entity under the guidence of recent literature.

References

  • 1- Choudry HA, Nikfarjam M, Liang JJ, Kimchi ET, Conter R, Gusani NJ, et al. Diagnosis and management of retroperitoneal ancient schwannomas. World J Surg Oncol 2009;7:12.
  • 2- Daneshmand S, Youssefzadeh D, Chamie K, Boswell W, Wu N, Stein JP, et al. Benign retroperitoneal schwannoma: a case series and review of the literature. Urology, 2003, 62(6):993–997.
  • 3- Girgin C, Ozkan U, Sezer A, Tugyan NA. Large pelvic schwannoma causing bilateral hydronephrosis. Int J Urol, 2003, 10(11):616–618.
  • 4- Kishi Y, Kajiwara S, Seta S, Kawauchi N, Suzuki T, Sasaki K. Retroperitoneal schwannoma misdiagnosed as a psoas abscess: report of case. Surg Today, 2002, 32(9):849–852.
  • 5- Loke TK, Yuen NW, Lo KK, Lo J, Chan JC. Retroperitoneal ancient schwannoma: Review of clinico‑radiological features. Australas Radiol 1998;42:136‑8.
  • 6- Dahl I. Ancient neurilemmoma (schwannoma). Acta Pathol Microbiol Scand 1977;85:812‑8.
  • 7- Jayaraj SM, Levine T, Frosh AC, Almeyda JS. Ancient schwannoma masquerading as parotid pleomorphic adenoma. J Laryngol Otol 1997;111:1088‑90.
  • 8- Hughes MJ, Thomas JM, Fisher C, Moskovic EC. Imaging features of retroperitoneal and pelvic schwannomas. Clin Radiol 2005;60:886‑93.
  • 9- Singh V, Kapoor R. Atypical presentations of benign retroperitoneal schwannoma: report of three cases with review of literature. Int Urol Nephrol, 2005, 37(3):547–549.
  • 10- Ackerman LV, Taylor FH. Neurogenous tumors within the thorax; a clinicopathological evaluation of forty‑eight cases. Cancer 1951;4:669‑91.
  • 11- Cury J, Coelho RF, Srougi M. Retroperitoneal schwannoma: case series and literature review. Clinics (Sao Paulo). 2007;62:359-362.
  • 12- Hide IG, Baudouiu CJ, Murray SA, Malcolm AJ. Giant ancient schwannoma of the pelvis. Skeletal Radiol, 2000, 29(9):538–542.
  • 13- Goh BK, Tan YM, Chung YF, et al. Retroperitoneal schwannoma. Am J Surg. 2006;192:14-18.
  • 14- Graviet S, Sinclair G, Kajani N. Ancient schwannoma of the foot. J Foot Ankle Surg 1995;34:46‑50.
  • 15- Giglio M, Giasotto V, Medica M, Germinale F, Durand F, Queirolo G, et al. Retroperitoneal ancient schwannoma: case report and analysis of clinico-radiological findings. Ann Urol (Paris), 2002, 36(2):104–106.
  • 16- Theodosopoulos T, Stafyla VK, Tsiantoula P, Yiallourou A, Marinis A, Kondi-Pafitis A, et al. Special problems encountering surgical management of large retroperitoneal schwannomas. World J Surg Oncol, 2008, 6:107.
  • 17- Takatera H, Takiuchi H, Namiki M, Takaha M, Ohnishi S, SonodaT. Retroperitoneal schwannoma. Urology 1986;28(6):529—31.
  • 18- Ogose A, Hotta T, Sato S, Takano R, Higuchi T. Presacral schwan-noma with purely cystic form. Spine 2001;26(16):1817—9.
  • 19- Von Figura G, Hartmann D, Pauls S, Barth TFE, Adler G,Henne-Bruns D, et al. Difficult diagnosis of a large cysticretroperitoneal tumor mimicking a hepatic origin. Z Gastroen-terol 2010;48(11):1301—4.
  • 20- Aran T, Guven S, Gocer S, Ersoz S, Bozkaya H. Large retroperi-toneal schwannoma mimicking ovarian carcinoma: case reportand literature review. Eur J Gynaecol Oncol 2009;30(4):446—8.
  • 21- Kudo T, Kawakami H, Kuwatani M, Ehira N, Yamato H, Eto K,et al. Three cases of retroperitoneal schwannoma diagnosedby EUS-FNA. World J Gastroenterol 2011;17(29):3459—64.
  • 22- Li S, Ai SZ, Owens C, Kulesza P. Intrapancreatic schwannomadiagnosed by endoscopic ultrasound-guided fine-needle aspira-tion cytology. Diagn Cytopathol 2009;37(2):132—5.
  • 23- Hoarau N, Slim K, Da Ines D. CT and MR imaging of retroperitoneal schwannoma. Diagn Interv Imaging. 2013 Nov;94(11):1133-9.
  • 24- Schindler OS, Dixon JH, Case P. Retroperitoneal giant schwannomas: report on two cases and review of the literature. J OrthopSurg (HongKong) 2002;10(1):77–84.
  • 25- Sofia L, Currò G, Iapichino G, Melita G, Lorenzini C, Cucinotta E. Retroperitoneal giant schwannoma: a case report and review of the literature. J Chir Ital 2008;60(1):141–6.
  • 26- Ohene-Yeboah M, Adjei E, Stalsberg HA. Giant gluteal schwannoma with extension into the pelvis: a case report. West Afr J Med 2009;28(3): 185–8.
  • 27- Bunc G, Kramberger S, Kovacic S, Seruga T, Vorsic M. Recurrent giant invasive thoracolumbar schwannoma. Wien Klin Wochenschr 2004;116(Suppl. 2): 93–6.
  • 28- Al Skaini MS, Haroon H, Sardar A, Bazeed M, Al Zain A, Al Shahrani M et al. Giant retroperitoneal ancient schwannoma: Is preoperative biopsy always mandatory? Int J Surg Case Rep. 2015;6C:233-6.
  • 29- Kim P, Ebersold MJ, Onofrio BM, Quast LM. Surgery of spinal nerve schwannoma. Risk of neurological deficit after resection of involved root. J Neurosurg, 1989, 71(6):810–814.
  • 30- Meşină C, Mogoantă SŞ, Cristian DA, Dumitrescu TV, Drăgoescu PO, Meşină-Botoran Retroperitoneal ancient schwannoma - case presentation. MI, et al. Rom J Morphol Embryol. 2015;56(4):1517-22.
  • 31- Pongsthorn C, Ozawa H, Aizawa T, Kusakabe T, Nakamura T, Itoi E. Giant sacral schwannoma: a report of six cases. Ups J Med Sci 2010;115(2): 146–52.
  • 32- Foote MN, Luongo V, Marino ER. Benign giant retroperitoneal neurilemmoma. Ann Surg 1963;157(5):719–24.
  • 33- Guz BV, Wood DP Jr, Montie JE, Pontes JE. Retroperitoneal neural sheath tumors: Cleveland Clinic experience. J Urol. 1989;142:1434-1437.
  • 34- Miller PL, Tessler A, Alexander S, Pinck BD. Retroperitoneal neurilemmoma. Urology. 1978;11:619-623.
  • 35- Andonian S, Karakiewicz PI, Herr HW. Presacral cystic schwannoma in a man. Urology. 2003;62:551.
  • 36- Gubbay AD, Moschilla G, Gray BN, Thompson I. Retroperitoneal schwannoma: a case series and review. Aust N Z J Surg. 1995;65:197-200.
  • 37- Wollin DA, Sivarajan G, Shukla P, Melamed J, Huang WC, Lepor H. Juxta-adrenal Ancient Schwannoma: A Rare Retroperitoneal Tumor. Rev Urol. 2015;17(2):97-101.
  • 38- Caliskan S, Gümrükçü G, Kaya C. Retroperitoneal Ancient Schwannoma: A Case Report. Rev Urol. 2015;17(3):190-3. Review.
  • 39- Descazeaud A, Coggia M, Bourriez A, Goëau-Brissonnière O. Laparoscopic resection of a retroperitoneal schwannoma. Surg Endosc. 2003;17:520.

Retroperitoneal Ancient Schwannom: Olgu Sunumu

Year 2017, Volume: 8 Issue: 2, 58 - 61, 13.04.2017
https://doi.org/10.22312/sdusbed.266081

Abstract

Ancient
Schwannom perinöral schwan hücrelerinden gelişen nadir bir schwannom çeşididir.  Bu tümörler dejeneratif özelliklerine dayanarak 'ancient' olarak ifade edilir. Benign kabul edilip yavaş büyüme özelliği gösterdiklerinden çoğunlukla insidental olarak saptanır. Nükleer atipi göstermeleri halinde kimi zaman malign gibi değerlendirilebilirler. Retroperitoneal yerleşimli schwannomlar tüm olguların % 0.5 - 5 'ini oluşturur. Bu makalede bir retroperitoneal ancient schwannom olgusu sunulmuş ve literatür eşliğinde tartışılmıştır.


References

  • 1- Choudry HA, Nikfarjam M, Liang JJ, Kimchi ET, Conter R, Gusani NJ, et al. Diagnosis and management of retroperitoneal ancient schwannomas. World J Surg Oncol 2009;7:12.
  • 2- Daneshmand S, Youssefzadeh D, Chamie K, Boswell W, Wu N, Stein JP, et al. Benign retroperitoneal schwannoma: a case series and review of the literature. Urology, 2003, 62(6):993–997.
  • 3- Girgin C, Ozkan U, Sezer A, Tugyan NA. Large pelvic schwannoma causing bilateral hydronephrosis. Int J Urol, 2003, 10(11):616–618.
  • 4- Kishi Y, Kajiwara S, Seta S, Kawauchi N, Suzuki T, Sasaki K. Retroperitoneal schwannoma misdiagnosed as a psoas abscess: report of case. Surg Today, 2002, 32(9):849–852.
  • 5- Loke TK, Yuen NW, Lo KK, Lo J, Chan JC. Retroperitoneal ancient schwannoma: Review of clinico‑radiological features. Australas Radiol 1998;42:136‑8.
  • 6- Dahl I. Ancient neurilemmoma (schwannoma). Acta Pathol Microbiol Scand 1977;85:812‑8.
  • 7- Jayaraj SM, Levine T, Frosh AC, Almeyda JS. Ancient schwannoma masquerading as parotid pleomorphic adenoma. J Laryngol Otol 1997;111:1088‑90.
  • 8- Hughes MJ, Thomas JM, Fisher C, Moskovic EC. Imaging features of retroperitoneal and pelvic schwannomas. Clin Radiol 2005;60:886‑93.
  • 9- Singh V, Kapoor R. Atypical presentations of benign retroperitoneal schwannoma: report of three cases with review of literature. Int Urol Nephrol, 2005, 37(3):547–549.
  • 10- Ackerman LV, Taylor FH. Neurogenous tumors within the thorax; a clinicopathological evaluation of forty‑eight cases. Cancer 1951;4:669‑91.
  • 11- Cury J, Coelho RF, Srougi M. Retroperitoneal schwannoma: case series and literature review. Clinics (Sao Paulo). 2007;62:359-362.
  • 12- Hide IG, Baudouiu CJ, Murray SA, Malcolm AJ. Giant ancient schwannoma of the pelvis. Skeletal Radiol, 2000, 29(9):538–542.
  • 13- Goh BK, Tan YM, Chung YF, et al. Retroperitoneal schwannoma. Am J Surg. 2006;192:14-18.
  • 14- Graviet S, Sinclair G, Kajani N. Ancient schwannoma of the foot. J Foot Ankle Surg 1995;34:46‑50.
  • 15- Giglio M, Giasotto V, Medica M, Germinale F, Durand F, Queirolo G, et al. Retroperitoneal ancient schwannoma: case report and analysis of clinico-radiological findings. Ann Urol (Paris), 2002, 36(2):104–106.
  • 16- Theodosopoulos T, Stafyla VK, Tsiantoula P, Yiallourou A, Marinis A, Kondi-Pafitis A, et al. Special problems encountering surgical management of large retroperitoneal schwannomas. World J Surg Oncol, 2008, 6:107.
  • 17- Takatera H, Takiuchi H, Namiki M, Takaha M, Ohnishi S, SonodaT. Retroperitoneal schwannoma. Urology 1986;28(6):529—31.
  • 18- Ogose A, Hotta T, Sato S, Takano R, Higuchi T. Presacral schwan-noma with purely cystic form. Spine 2001;26(16):1817—9.
  • 19- Von Figura G, Hartmann D, Pauls S, Barth TFE, Adler G,Henne-Bruns D, et al. Difficult diagnosis of a large cysticretroperitoneal tumor mimicking a hepatic origin. Z Gastroen-terol 2010;48(11):1301—4.
  • 20- Aran T, Guven S, Gocer S, Ersoz S, Bozkaya H. Large retroperi-toneal schwannoma mimicking ovarian carcinoma: case reportand literature review. Eur J Gynaecol Oncol 2009;30(4):446—8.
  • 21- Kudo T, Kawakami H, Kuwatani M, Ehira N, Yamato H, Eto K,et al. Three cases of retroperitoneal schwannoma diagnosedby EUS-FNA. World J Gastroenterol 2011;17(29):3459—64.
  • 22- Li S, Ai SZ, Owens C, Kulesza P. Intrapancreatic schwannomadiagnosed by endoscopic ultrasound-guided fine-needle aspira-tion cytology. Diagn Cytopathol 2009;37(2):132—5.
  • 23- Hoarau N, Slim K, Da Ines D. CT and MR imaging of retroperitoneal schwannoma. Diagn Interv Imaging. 2013 Nov;94(11):1133-9.
  • 24- Schindler OS, Dixon JH, Case P. Retroperitoneal giant schwannomas: report on two cases and review of the literature. J OrthopSurg (HongKong) 2002;10(1):77–84.
  • 25- Sofia L, Currò G, Iapichino G, Melita G, Lorenzini C, Cucinotta E. Retroperitoneal giant schwannoma: a case report and review of the literature. J Chir Ital 2008;60(1):141–6.
  • 26- Ohene-Yeboah M, Adjei E, Stalsberg HA. Giant gluteal schwannoma with extension into the pelvis: a case report. West Afr J Med 2009;28(3): 185–8.
  • 27- Bunc G, Kramberger S, Kovacic S, Seruga T, Vorsic M. Recurrent giant invasive thoracolumbar schwannoma. Wien Klin Wochenschr 2004;116(Suppl. 2): 93–6.
  • 28- Al Skaini MS, Haroon H, Sardar A, Bazeed M, Al Zain A, Al Shahrani M et al. Giant retroperitoneal ancient schwannoma: Is preoperative biopsy always mandatory? Int J Surg Case Rep. 2015;6C:233-6.
  • 29- Kim P, Ebersold MJ, Onofrio BM, Quast LM. Surgery of spinal nerve schwannoma. Risk of neurological deficit after resection of involved root. J Neurosurg, 1989, 71(6):810–814.
  • 30- Meşină C, Mogoantă SŞ, Cristian DA, Dumitrescu TV, Drăgoescu PO, Meşină-Botoran Retroperitoneal ancient schwannoma - case presentation. MI, et al. Rom J Morphol Embryol. 2015;56(4):1517-22.
  • 31- Pongsthorn C, Ozawa H, Aizawa T, Kusakabe T, Nakamura T, Itoi E. Giant sacral schwannoma: a report of six cases. Ups J Med Sci 2010;115(2): 146–52.
  • 32- Foote MN, Luongo V, Marino ER. Benign giant retroperitoneal neurilemmoma. Ann Surg 1963;157(5):719–24.
  • 33- Guz BV, Wood DP Jr, Montie JE, Pontes JE. Retroperitoneal neural sheath tumors: Cleveland Clinic experience. J Urol. 1989;142:1434-1437.
  • 34- Miller PL, Tessler A, Alexander S, Pinck BD. Retroperitoneal neurilemmoma. Urology. 1978;11:619-623.
  • 35- Andonian S, Karakiewicz PI, Herr HW. Presacral cystic schwannoma in a man. Urology. 2003;62:551.
  • 36- Gubbay AD, Moschilla G, Gray BN, Thompson I. Retroperitoneal schwannoma: a case series and review. Aust N Z J Surg. 1995;65:197-200.
  • 37- Wollin DA, Sivarajan G, Shukla P, Melamed J, Huang WC, Lepor H. Juxta-adrenal Ancient Schwannoma: A Rare Retroperitoneal Tumor. Rev Urol. 2015;17(2):97-101.
  • 38- Caliskan S, Gümrükçü G, Kaya C. Retroperitoneal Ancient Schwannoma: A Case Report. Rev Urol. 2015;17(3):190-3. Review.
  • 39- Descazeaud A, Coggia M, Bourriez A, Goëau-Brissonnière O. Laparoscopic resection of a retroperitoneal schwannoma. Surg Endosc. 2003;17:520.
There are 39 citations in total.

Details

Subjects Health Care Administration
Journal Section Olgu Sunumları
Authors

Emine Elif Özkan

İbrahim Metin Cırıs

Aysenyesim Yalcın This is me

Hasan Erol Eroglu This is me

Publication Date April 13, 2017
Submission Date November 15, 2016
Published in Issue Year 2017 Volume: 8 Issue: 2

Cite

Vancouver Özkan EE, Cırıs İM, Yalcın A, Eroglu HE. Retroperitoneal Ancient Schwannom: Olgu Sunumu. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2017;8(2):58-61.

SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.