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Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report
INTRODUCTION AND IMPORTANCE: Schwannomas are benign tumors originating from Schwann cells of nerve fibers. Pelvic schwannomas are extremely rare. Here, we present a case of a 48-year-old woman with a pelvic schwannoma imitating degenerating cystic leiomyoma. CASE PRESENTATION: A 48-year-old woman pr...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234584/ https://www.ncbi.nlm.nih.gov/pubmed/35749948 http://dx.doi.org/10.1016/j.ijscr.2022.107327 |
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author | Maidarti, Mila Wibawa, Yohanes Satrya Garinasih, Prini Diandara Hellyanti, Tantri Harzif, Achmad Kemal Nuryanto, Kartiwa Hadi |
author_facet | Maidarti, Mila Wibawa, Yohanes Satrya Garinasih, Prini Diandara Hellyanti, Tantri Harzif, Achmad Kemal Nuryanto, Kartiwa Hadi |
author_sort | Maidarti, Mila |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Schwannomas are benign tumors originating from Schwann cells of nerve fibers. Pelvic schwannomas are extremely rare. Here, we present a case of a 48-year-old woman with a pelvic schwannoma imitating degenerating cystic leiomyoma. CASE PRESENTATION: A 48-year-old woman presented with brown-yellowish bloody vaginal discharge, fever, abdominal enlargement, and pain. Abdominal ultrasound showed a homogeneous solid mass with a clear border separated from the uterus and left ovary. Computed tomography (CT) scan revealed a multilocular cystic mass with thick septa and solid enhancing component. Histopathological examination showed a mesenchymal tumor composed of cells with fine chromatin. The nuclei were oval or round, and some cells exhibited spindle and cigar-shaped nuclei. Tumor cells had an abundant amount of eosinophilic cytoplasm. Immunohistochemical examination demonstrated positive expression for S100 as specific staining for schwannomas. Mitosis was not found, and hyalinized blood vessels were observed. CLINICAL DISCUSSION: Compression by the tumor into the surrounding organs, such as the bladder and intestines, could cause difficulty with defecation and urination in patients. The absence of specific signs and symptoms can lead to a misdiagnosis of pelvic schwannoma. Surgery is the treatment of choice. It is difficult to establish a definitive diagnosis before surgery. Laparotomy approach was taken and a histopathological examination was completed to confirm the diagnosis. CONCLUSION: Unspecified pelvic pain with abdominal mass may suggest a rare tumor such as schwannoma. Transvaginal ultrasonography is incapable of reliably distinguishing between schwannoma and other tumors. |
format | Online Article Text |
id | pubmed-9234584 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-92345842022-06-28 Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report Maidarti, Mila Wibawa, Yohanes Satrya Garinasih, Prini Diandara Hellyanti, Tantri Harzif, Achmad Kemal Nuryanto, Kartiwa Hadi Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Schwannomas are benign tumors originating from Schwann cells of nerve fibers. Pelvic schwannomas are extremely rare. Here, we present a case of a 48-year-old woman with a pelvic schwannoma imitating degenerating cystic leiomyoma. CASE PRESENTATION: A 48-year-old woman presented with brown-yellowish bloody vaginal discharge, fever, abdominal enlargement, and pain. Abdominal ultrasound showed a homogeneous solid mass with a clear border separated from the uterus and left ovary. Computed tomography (CT) scan revealed a multilocular cystic mass with thick septa and solid enhancing component. Histopathological examination showed a mesenchymal tumor composed of cells with fine chromatin. The nuclei were oval or round, and some cells exhibited spindle and cigar-shaped nuclei. Tumor cells had an abundant amount of eosinophilic cytoplasm. Immunohistochemical examination demonstrated positive expression for S100 as specific staining for schwannomas. Mitosis was not found, and hyalinized blood vessels were observed. CLINICAL DISCUSSION: Compression by the tumor into the surrounding organs, such as the bladder and intestines, could cause difficulty with defecation and urination in patients. The absence of specific signs and symptoms can lead to a misdiagnosis of pelvic schwannoma. Surgery is the treatment of choice. It is difficult to establish a definitive diagnosis before surgery. Laparotomy approach was taken and a histopathological examination was completed to confirm the diagnosis. CONCLUSION: Unspecified pelvic pain with abdominal mass may suggest a rare tumor such as schwannoma. Transvaginal ultrasonography is incapable of reliably distinguishing between schwannoma and other tumors. Elsevier 2022-06-20 /pmc/articles/PMC9234584/ /pubmed/35749948 http://dx.doi.org/10.1016/j.ijscr.2022.107327 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Maidarti, Mila Wibawa, Yohanes Satrya Garinasih, Prini Diandara Hellyanti, Tantri Harzif, Achmad Kemal Nuryanto, Kartiwa Hadi Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report |
title | Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report |
title_full | Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report |
title_fullStr | Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report |
title_full_unstemmed | Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report |
title_short | Rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: A case report |
title_sort | rare case of pelvic schwannoma mimicking intra-ligamenter uterine fibroid: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9234584/ https://www.ncbi.nlm.nih.gov/pubmed/35749948 http://dx.doi.org/10.1016/j.ijscr.2022.107327 |
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