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Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review

BACKGROUND: Schwannomas are nerve sheath tumors that commonly originate from the stomach and small intestine. A primary schwannoma of the diaphragm is rare and does not show any symptoms until it grows to a certain size. Hence, it is extremely rare that it was found at a size that allowed resection...

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Autores principales: Kamiya, Ayako, Yamagata, Yukinori, Yoshida, Hiroshi, Ishizu, Kenichi, Wada, Takeyuki, Hayashi, Tsutomu, Otsuki, Sho, Yoshikawa, Takaki, Katai, Hitoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678197/
https://www.ncbi.nlm.nih.gov/pubmed/33213428
http://dx.doi.org/10.1186/s12893-020-00963-w
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author Kamiya, Ayako
Yamagata, Yukinori
Yoshida, Hiroshi
Ishizu, Kenichi
Wada, Takeyuki
Hayashi, Tsutomu
Otsuki, Sho
Yoshikawa, Takaki
Katai, Hitoshi
author_facet Kamiya, Ayako
Yamagata, Yukinori
Yoshida, Hiroshi
Ishizu, Kenichi
Wada, Takeyuki
Hayashi, Tsutomu
Otsuki, Sho
Yoshikawa, Takaki
Katai, Hitoshi
author_sort Kamiya, Ayako
collection PubMed
description BACKGROUND: Schwannomas are nerve sheath tumors that commonly originate from the stomach and small intestine. A primary schwannoma of the diaphragm is rare and does not show any symptoms until it grows to a certain size. Hence, it is extremely rare that it was found at a size that allowed resection under videoscopic surgery. CASE PRESENTATION: A 77-year-old woman was referred to our department for surgical treatment of a tumor located near the gastric fornix. She underwent a routine esophagogastroduodenoscopy 2 years and 7 months prior to the referral. It was suspected that she had a submucosal tumor measuring 10 mm, located in the fornix, and was then referred to her previous physician. During her follow-up, endoscopic ultrasonography (EUS) revealed that the cystic structure had continued to grow toward the gastric wall, and she was then referred to the endoscopy division of our hospital. She continued to be followed-up, and it was noted that the tumor was gradually increasing in size. Therefore, she requested surgical resection, and was finally referred to our division. Since the tumor was rather small, we planned a laparoscopic surgery. An initial examination during the operation revealed that the tumor was located on the left diaphragm. Since the tumor was relatively small and visibility was good, we decided to continue with the laparoscopic surgery. Partial diaphragmectomy with complete inclusion of the tumor was performed, and the defect of the diaphragm was directly closed by a running suture. Pathological examination revealed a benign schwannoma that had originated from the diaphragm. To support our findings, we also reviewed the scientific literature on diaphragmatic schwannoma cases reported up to April 2020. CONCLUSIONS: In this extremely rare case, we successfully resected the diaphragmatic schwannoma using laparoscopic surgery.
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spelling pubmed-76781972020-11-20 Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review Kamiya, Ayako Yamagata, Yukinori Yoshida, Hiroshi Ishizu, Kenichi Wada, Takeyuki Hayashi, Tsutomu Otsuki, Sho Yoshikawa, Takaki Katai, Hitoshi BMC Surg Case Report BACKGROUND: Schwannomas are nerve sheath tumors that commonly originate from the stomach and small intestine. A primary schwannoma of the diaphragm is rare and does not show any symptoms until it grows to a certain size. Hence, it is extremely rare that it was found at a size that allowed resection under videoscopic surgery. CASE PRESENTATION: A 77-year-old woman was referred to our department for surgical treatment of a tumor located near the gastric fornix. She underwent a routine esophagogastroduodenoscopy 2 years and 7 months prior to the referral. It was suspected that she had a submucosal tumor measuring 10 mm, located in the fornix, and was then referred to her previous physician. During her follow-up, endoscopic ultrasonography (EUS) revealed that the cystic structure had continued to grow toward the gastric wall, and she was then referred to the endoscopy division of our hospital. She continued to be followed-up, and it was noted that the tumor was gradually increasing in size. Therefore, she requested surgical resection, and was finally referred to our division. Since the tumor was rather small, we planned a laparoscopic surgery. An initial examination during the operation revealed that the tumor was located on the left diaphragm. Since the tumor was relatively small and visibility was good, we decided to continue with the laparoscopic surgery. Partial diaphragmectomy with complete inclusion of the tumor was performed, and the defect of the diaphragm was directly closed by a running suture. Pathological examination revealed a benign schwannoma that had originated from the diaphragm. To support our findings, we also reviewed the scientific literature on diaphragmatic schwannoma cases reported up to April 2020. CONCLUSIONS: In this extremely rare case, we successfully resected the diaphragmatic schwannoma using laparoscopic surgery. BioMed Central 2020-11-19 /pmc/articles/PMC7678197/ /pubmed/33213428 http://dx.doi.org/10.1186/s12893-020-00963-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Kamiya, Ayako
Yamagata, Yukinori
Yoshida, Hiroshi
Ishizu, Kenichi
Wada, Takeyuki
Hayashi, Tsutomu
Otsuki, Sho
Yoshikawa, Takaki
Katai, Hitoshi
Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
title Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
title_full Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
title_fullStr Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
title_full_unstemmed Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
title_short Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
title_sort laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678197/
https://www.ncbi.nlm.nih.gov/pubmed/33213428
http://dx.doi.org/10.1186/s12893-020-00963-w
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