Giant Retroperitoneal Schwannoma: A Case Treated with 3D Laparoscopic Resection
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2018, Vol 8, Issue 2
Abstract
Background: Schwannomas which are derived from Schwann cell and strictly found in head or neck region, upper and lower limbs. Retroperitoneal location accounts for less than 3% of primary schwannoma. We present a case of huge retroperitoneal schwannoma treated using 3D laparoscopy.Case Report: A 36 years-old gentleman was referred to our clinic due to suspected renal lesion. After imaging, a huge retroperitoneal tumor was noted on CT scan. Due to suspected sarcoma, surgical intervention was performed. The final pathology showed Antoni A and B section along with S100 and SOX-10 positive, therefore a diagnosis of benign schwannoma was given.Discussion: A variety of diagnosis can arrive from retroperitoneum tumor, ranging from sarcoma to lymphoma. The size of tumor, the clinical symptoms, the involvement of peripheral organ along with selective pre-operative biopsy will help determine the treatment course of these patients. Pre-operative biopsy should be considered in selected individuals to help with decision making and avoid any unnecessary surgery.Conclusion: A careful pre-operative survey and selective biopsy is warranted for patients with retroperitoneal tumor.
Authors and Affiliations
Heng Chieh Chiang, Meng Yi Yan, Chao An Chen, Pao Hwa Chen
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