Retroperitoneal giant schwannoma eroding lumbal vertebra: A case report with a literature review

Open Medicine ◽  
2008 ◽  
Vol 3 (2) ◽  
pp. 233-244 ◽  
Author(s):  
Marija Sakalauskaite ◽  
Juozas Stanaitis ◽  
Saulius Cepkus ◽  
Mindaugas Pleckaitis ◽  
Raimundas Lunevicius
Keyword(s):  
Case Report ◽  
Vertebral Body ◽  
Surgical Excision ◽  
Negative Influence ◽  
Retroperitoneal Space ◽  
Benign Schwannoma ◽  
Complete Surgical Excision ◽  
Giant Schwannoma ◽  
Retroperitoneal Schwannoma ◽  
The Right

AbstractA huge schwannoma, located in the retroperitoneal space, is found very rarely. The main purpose of this paper is to present the case of a giant retroperitoneal schwannoma which partly invaded L4 vertebral body. The secondary purpose is to summarize the case-report articles on retroperitoneal schwannomas. A circumscribed heterogenic tumour was revealed on transabdominal sonography. It extended into the right retroperitoneal space. CT and MRI revealed a paravertebral tumour in the size of 11 cm × 9 cm, which is causing a partial lysis of L4 vertebral body (15% of vertebral capacity), expanding intravertebral foramen and filling the right retroperitoneal space. A preoperative core needle biopsy was performed and a benign schwannoma was diagnosed. A complete surgical excision of the tumour was achieved by a two-step operation. During the first step, the neurosurgeons made L4 hemilaminectomy, facetectomy and a transverse process resection by posterior extended approach. The general surgeons excised the residual retroperitoneal part of the tumour by midline transabdominal approach 10 days later. The diagnosis of benign schwannoma was verified histochemically. There were no sign of tumour recurrence or spine destabilization at the six-month follow-up. In conclusion, although majority of giant retroperitoneal schwannomas can be completely removed performing one-step operation, a preoperative consideration about rationality of two-step operation should be mandatory when tumour destructs a part of vertebral body. Our case shows that the combined two stage complete surgical excision of a giant retroperitoneal schwannoma, eroding 15% of L4 vertebra’s osseous capacity, is effective and does not have any negative influence on spinal stability.

scholarly journals Use of Preexpanded Forehead and Neck Skin in Case of Giant Facial Hairy Naevus: Planning and Technique

2020 ◽  
Author(s):  
Mukesh Kumar Sharma ◽  
Naveen Kumar ◽  
V. Suman Babu ◽  
Vinay Kumar Tiwari
Keyword(s):  
Case Report ◽  
Tissue Expansion ◽  
Surgical Excision ◽  
Tissue Expanders ◽  
Pigmented Lesion ◽  
Complete Surgical Excision ◽  
Good Cosmetic ◽  
The Right ◽  
Staged Reconstruction

AbstractA congenital nevi is a pigmented patch which requires complete surgical excision for cosmetic reasons. Here, we report a case of a patient with facial hairy pigmented lesion, occupying the right half of her face since birth, who underwent complete surgical excision and staged reconstruction utilizing, preexpanded forehead and neck skin. We used two rectangular tissue expanders with 150 and 300 cubic cm of volumes inserted in the forehead and the neck, respectively. The length of the expanders selected were equal to 1.2 to 1.5 times the length of their respective lesions, whereas the width of the base of the expanders were approximately similar to the width of their defects. It is concluded with this case report that tissue expansion provides a good cosmetic and anatomical correction to cover large defects, with adjacent skin having similar properties.

Bilateral Transorbital and Transnasal Endoscopic Resection of a Frontal Sinus Osteoblastoma and Orbital Mucocele: A Case Report and Review of the Literature

2018 ◽  
Vol 127 (11) ◽  
pp. 864-869 ◽  
Author(s):  
Kelli L. Hicks ◽  
Kris S. Moe ◽  
Ian M. Humphreys
Keyword(s):  
Case Report ◽  
Frontal Sinus ◽  
Retrospective Chart Review ◽  
Rare Condition ◽  
Surgical Excision ◽  
Transnasal Approach ◽  
Complete Surgical Excision ◽  
Surgical Data ◽  
Frontal Sinuses ◽  
The Right

Objective: Describe a novel treatment approach to a rare bony neoplasm in the frontal sinus. Study Design: Case report. Methods: Retrospective chart review of an osteoblastoma of the frontal sinuses complicated by a right orbital mucocle. Demographic, endoscopic, radiographic, pathologic, and surgical data were collected for synthesis and review. MEDLINE, Embase, and Cochrane databases were searched from 1977 to 2017 to review publications of surgical management of frontal sinus neoplasms. Results: A single female patient with a large frontal sinus osteoblastoma was successfully treated with a bilateral transorbital and transnasal approach. The right orbital mucocele was marsupialized into the frontal sinus. Gross total resection of the tumor was achieved, with complete resolution of the presurgical morbidity. The surgery was tolerated well without iatrogenic injury or sequela. Conclusion: Frontal sinus osteoblastoma is a rare condition. Complete surgical excision is considered curative. Various endoscopic and open approaches have been described. Here we show the feasibility and efficacy of a multiportal strategy in the successful management of a large frontal sinus osteoblastoma complicated by a right orbital mucocele.

scholarly journals Juvenile Ossifying Fibroma of the Maxilla: A Case Report

2013 ◽  
Vol 4 (1) ◽  
pp. 42-44
Author(s):  
Mohammad Shah Kamal ◽  
Mohammad Ashik Anwar Bahar ◽  
MA Latif ◽  
Mehdi Mohammad Imtiaz Uddin Khan
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Recurrence Rate ◽  
Bone Destruction ◽  
Surgical Excision ◽  
Ossifying Fibroma ◽  
Complete Surgical Excision ◽  
Juvenile Ossifying Fibroma ◽  
Males And Females ◽  
The Right

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous neoplasm that arises within the craniofacial bones in individuals under 15 years of age. It affects both males and females equally. It has the potential for excessive growth, bone destruction, and recurrence. It is more aggressive than ossifying fibroma. Recurrence rate ranges from 30% to 58% .We report a case of 11-year-old male child presented with a painless, progressive swelling of the right face for 8 months. CT scan demonstrated a well-defined, mixed-density mass filling the right maxillary sinus. Under general anaesthesia, surgical excision of the tumour was performed. Histopathologically, excised specimen was identical with fibro-osseous lesion. Juvenile ossifying fibroma (JOF) is aggressive in nature and recurrence rate is high, so early detection and complete surgical excision is essential. DOI: http://dx.doi.org/10.3329/akmmcj.v4i1.13685 AKMMC J 2013: 4(1): 42-44

scholarly journals Neglected Giant Schwannoma of the Sciatic Nerve – A Case Report

2020 ◽  
Vol 5 ◽  
Author(s):  
Tariq Elemam Awad ◽  
Mohamed Hassan Mahmoud
Keyword(s):  
Case Report ◽  
Sciatic Nerve ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Postoperative Recovery ◽  
Good Prognosis ◽  
University Hospital ◽  
Sensory Deficits ◽  
Giant Schwannoma ◽  
The Right

Background : Schwannomas originating from the sciatic nerve are extremely rare and usually present as a pathological mass in palpable examination or pain located in the thigh. Motor and sensory deficits are observed more often when the size of the tumor is more than 40 mm.Case Description : A 19-years- old female patient was referred to Suez Canal University Hospital after 6 years of pain and 2 years of improper management. Neurological examination and MRI of the right thigh was done and revealed huge mass attached to the right sciatic nerve. Surgical excision was undertaken, carefully dissecting the lesion from the sciatic nerve. Histopathological examination revealed the tumor to be a schwannoma. The patient had marked postoperative recovery with marked pain reduction and improved neurological deficits.Conclusions : Schwannomas of the sciatic nerve are rare tumors eccentrically located on the nerve. Although rare, schwannoma of the sciatic nerve should be systematically suspected if thigh mass or persistent sciatica is reported. Surgical excision has good prognosis.

scholarly journals Managing Recurrent Orbital Lymphangioma in a Pubertal Female with Negative Pressure Aspiration and Intralesional Bleomycin Injection: A Case Report

2021 ◽  
Vol 13 (1) ◽  
pp. 157-161
Author(s):  
Santosh Chaudhary ◽  
Aashish Raj Pant ◽  
Badri Prasad Badhu
Keyword(s):  
Case Report ◽  
Negative Pressure ◽  
Surgical Excision ◽  
Successful Management ◽  
Minimal Intervention ◽  
Sclerosing Agents ◽  
Complete Surgical Excision ◽  
The Right

Introduction: Management of orbital lymphangioma is challenging. Complete surgical excision is often impossible due to its infiltrative nature. Sclerosing agents have been used in its management with variable outcomes. We report a case of recurrent orbital lymphangioma managed with intralesional bleomycin.  Case: A 14-year-old female presented with proptosis of the right eye for two weeks. She had a similar history at five years of age for which she underwent surgical excision. We performed negative pressure aspiration using a 20-gauge angiocatheter, injected bleomycin, and left the cannula in situ for repeat aspiration to maintain cyst collapse.  Observation: The lymphangioma regressed, and there was no recurrence at six months of follow-up.  Conclusion: This report highlights the use of negative pressure aspiration and intralesional bleomycin injection by minimal intervention using angiocatheter in the successful management of orbital lymphangioma.

scholarly journals Neurilemmoma of the tongue – a case report

2019 ◽  
pp. 26-30
Author(s):  
Immanuel Joseph ◽  
Thavarajah Rooban ◽  
Joshua Elizabeth ◽  
Umadevi Rao K ◽  
Kannan Ranganathan
Keyword(s):  
Case Report ◽  
Schwann Cells ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Good Prognosis ◽  
Autonomic Nerves ◽  
Benign Schwannoma ◽  
Complete Surgical Excision ◽  
Key Words Schwannoma ◽  
Benign Tumours

Schwannomas (neurilemmomas) are benign tumours of Schwann cells. They can arise from peripheral, cranial, or autonomic nerves. Malignant transformation of benign schwannoma is very rare. Schwannoma is treated by complete surgical excision. In this case report, we present the demographics and clinico-pathological profile of a case of Schwannoma in the tongue. A 40-year-old male patient presented with a slow-growing swelling beneath the tongue for the past 5 weeks. On intraoral examination, a 2.5×1.5 cm mass was seen at the ventral aspect of tongue. There was no enlargement of lymph nodes. Excisional biopsy was done under local anaesthesia. Histopathological features were suggestive of schwannoma. Despite its rarity of occurrence intra-orally, a differential diagnosis of Schwanomma should be considered for proper management as it favours good prognosis. Key Words : Schwannoma, Neurilemmoma, Schwann cells, Neurofibroma.

scholarly journals The arteriovenous hemangioma of the right ventricle: Case report and literature review

2019 ◽  
Vol 76 (12) ◽  
pp. 1301-1303
Author(s):  
Aleksandar Mikic ◽  
Milos Matkovic ◽  
Petar Vukicevic ◽  
Biljana Obrenovic-Kircanski ◽  
Nemanja Karamarkovic ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Right Ventricle ◽  
Surgical Excision ◽  
Long Term Results ◽  
Benign Tumors ◽  
First Line ◽  
Complete Surgical Excision ◽  
The Right

Introduction. Cardiac hemangiomas of the right ventricle are very rare and mostly asymptomatic benign tumors. The surgical excision is the first line treatment. Case report. We report a case of 69-year-old woman with an asymptomatic arteriovenous hemangioma of the right ventricle. The complete surgical excision was performed with the use of cardiopulmonary bypass and the patient was discharged on the postoperative day 6 after the uneventral postoperative course. There was no relapse during the six-month followup. Literature review revealed totally 35 cases of this tumors including our case Conclusion. Described procedure can be performed safely with the excellent long-term results.

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

scholarly journals A Case of Incidental Schwannoma Mimicking Necrotic Metastatic Lymph Node from Bladder Cancer

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 728
Author(s):  
Jeong-Hyouk Choi ◽  
Koo-Han Yoo ◽  
Dong-Gi Lee ◽  
Gyeong-Eun Min ◽  
Gou-Young Kim ◽  
...  
Keyword(s):  
Histopathological Examination ◽  
Metastatic Lymph Node ◽  
Imaging Study ◽  
Surgical Excision ◽  
The Body ◽  
Pathological Examination ◽  
Cystic Tumor ◽  
Complete Surgical Excision ◽  
Ultrasound Computed Tomography ◽  
Retroperitoneal Schwannoma

Background and Objectives: Retroperitoneal schwannoma is a very rare case of schwannoma which commonly occurs in the other part of the body. However, it is difficult to distinguish schwannoma from other tumors before pathological examination because they do not show specific characteristics on imaging study such as ultrasound, computed tomography (CT), and magnetic resonance image (MRI). Case summary: A 60-year-old male showed a retroperitoneal cystic tumor which is found incidentally during evaluation of coexisted bladder tumor. Neurogenic tumor was suspicious for the retroperitoneal tumor through pre-operative imaging study. Finally, a schwannoma was diagnosed by immunohistochemical examination after complete surgical excision laparoscopically. Conclusion: As imaging technology is developed, there may be more chances to differentiate schwannoma from other neoplasm. However, still surgical resection and histopathological examination is feasible for diagnosis of schwannoma.

scholarly journals Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Infratemporal Fossa ◽  
Newborn Infants ◽  
Surgical Excision ◽  
Neck Mass ◽  
Oral Feeding ◽  
Feeding Difficulties ◽  
Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

Sign in / Sign up

Export Citation Format

Share Document