International Journal For Multidisciplinary Research

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Management of a Retroperitoneal Schwannoma in a Young Woman: A Case Report and Literature Review

Author(s) Kamel Hail, Kafia Belhocine, Radia Benyahia, Lounas Benghanem, Nabil Bellik, Nazim Laraba
Country Algeria
Abstract Schwannoma, typically a benign tumor originating from Schwann cells, can develop in various parts of the body, including the retroperitoneal and pelvic regions. In this observation, we report the case of a giant retro-uterine presacral schwannoma in a 25-year-old woman, revealed by atypical pelvic pain and diagnosed through CT and MRI imaging. The patient underwent surgery via both abdominal and Kraske's posterior approaches, and histology confirmed the diagnosis as benign. Schwannomas in this location are highly rare. They can progress to a malignant form, especially in patients with neurofibromatosis. Imaging examinations, particularly MRI, are more accurate in distinguishing benign from malignant tumors. Biopsy is often discouraged due to potential risks. Histological classifications and S100 protein expression aid in diagnosis. Surgery is the primary treatment, but the approach varies based on location and associated risks. Kraske's posterior trans-sacral approach can be an alternative. Although recurrences are rare, postoperative CT surveillance is recommended due to delayed diagnosis and uncertainty regarding tumor malignancy.
Field Medical / Pharmacy
Published In Volume 4, Issue 2, March-April 2022
Published On 2022-03-22
Cite This Management of a Retroperitoneal Schwannoma in a Young Woman: A Case Report and Literature Review - Kamel Hail, Kafia Belhocine, Radia Benyahia, Lounas Benghanem, Nabil Bellik, Nazim Laraba - IJFMR Volume 4, Issue 2, March-April 2022. DOI 10.36948/ijfmr.2022.v04i02.14507
DOI https://doi.org/10.36948/ijfmr.2022.v04i02.14507
Short DOI https://doi.org/gtq3b6
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