20
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Intraabdominal schwannomas: a single institution experience.

      Journal of Gastrointestinal Surgery
      Abdominal Neoplasms, diagnosis, pathology, surgery, Adult, Aged, Aged, 80 and over, Female, Gastrointestinal Neoplasms, Humans, Male, Middle Aged, Neurilemmoma, Retrospective Studies

      Read this article at

      ScienceOpenPublisherPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Intraabdominal schwannomas are rare, benign tumors. This study presents a single institution experience with 12 such tumors. Between 1991 to 2006, 12 patients with a pathologically proven intraabdominal schwannoma were identified from a series of 216 mesenchymal tumors and were reviewed retrospectively. There were nine females and three male patients with a median age of 58 years (range 35-88 years). Eleven patients were symptomatic, and the tumors were located in the stomach (n = 8), jejunum, colon, rectum, and lesser sac. Multiple preoperative investigations including endoscopies with biopsies and computed tomography (CT) scans were performed, but none yielded a correct definitive preoperative diagnosis. The median tumor size was 52 mm (range 18-95 mm). Pathological examination demonstrated the 11 gastrointestinal tract (GIT) schwannomas to be solid homogenous tumors, which were highly cellular and were composed of spindle cells with positive staining for S100 protein. The pathological appearance of the lesser sac schwannoma was distinct as it demonstrated cystic degeneration with hemorrhage and Antoni A and B areas on microscopy typical of soft tissue schwannomas. All 12 patients were disease-free at a median follow-up of 22 months (range 1-120 months). Intraabdominal schwannomas are rare tumors, which are most frequently located within the GIT. GIT schwannomas are difficult if not impossible to diagnose preoperatively as endoscopic and radiologic findings are nonspecific. The treatment of choice is complete surgical excision because of diagnostic uncertainty, and the long-term outcome is excellent as these lesions are uniformly benign.

          Related collections

          Author and article information

          Journal
          18074186
          10.1007/s11605-007-0441-3

          Chemistry
          Abdominal Neoplasms,diagnosis,pathology,surgery,Adult,Aged,Aged, 80 and over,Female,Gastrointestinal Neoplasms,Humans,Male,Middle Aged,Neurilemmoma,Retrospective Studies

          Comments

          Comment on this article