CASE REPORT
Comparative analysis within diagnostics and treatment of retroperitoneal schwannoma
 
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1
Department of Urology, Military Institute of Medicine in Warsaw, Poland;
 
2
Department of Agriculture and Forestry, University of Warmia and Mazury in Olsztyn, Poland.
 
 
Submission date: 2021-01-05
 
 
Final revision date: 2021-01-26
 
 
Acceptance date: 2021-01-26
 
 
Online publication date: 2021-02-09
 
 
Corresponding author
Anna Grabińska   

Department of Agriculture and Forestry, University of Warmia and Mazury in Olsztyn, Oczapowskiego 8, 10-718 Olsztyn, Poland.
 
 
Pol. Ann. Med. 2021;28(2):235-238
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Retroperitoneal schwannoma is a rare tumor that originates from the Schwann cells of the peripheral nerve sheath. It is mostly located in the brain and spinal cord, but can affect other untypical places such as the scrotum and penis.

Aim:
The aim of this study was to present two different cases of retroperitoneal schwannoma.

Case study:
The authors present two cases of patients with benign and malignant retroperitoneal schwannomas (malignant peripheral nerve sheath tumor – MPNST).

Results and discussion:
It has been reported that only 0.7% of schwannomas occur in the retroperitoneum. It is difficult to diagnose this tumor preoperatively because of the clinical variety and a lack of the characteristic symptoms. These tumors can mimic different conditions, such as pancreatic tail tumors, a hepatic tumor in the caudate lobe, or lymph node metastases. They can arise at any age, but generally occur between 30 and 50 years of age and develop in any race. Based on the literature published in the last 20 years regarding schwannomas arising in retroperitoneum 20 cases were reported.

Conclusions:
Careful monitoring is highly recommended after retroperitoneal schwannoma removal.

ACKNOWLEDGEMENTS
We thank our colleagues from our department who provided insight and expertise that greatly assisted the research.
FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
REFERENCES (11)
1.
Das Gupta TK, Brasfield RD. Solitary malignant schwannoma. Ann Surg. 1970;171(3):419–428. https://dx.doi.org/10.1097%2F0....
 
2.
Pakla P, Lewandowski B. The case of malignant peripheral nerve sheath tumor of the cheek. Pol Ann Med. 2016;23(2):172–176. http://dx.doi.org/10.1016/j.po....
 
3.
Hsiao WC, Lin PW, Chang KC. Benign retroperitoneal schwannoma. Scand J Urol Nephrol. 1992;26(1):85–87. https://doi.org/10.3109/003655....
 
4.
Safak M, Baltaci S, Yaman S, Uluoglu O, Eryilmaz Y. Intrascrotal extratesticular malignant schwannoma. Eur Urol. 1992;21(4):340–342. https://doi.org/10.1159/000474....
 
5.
Aricola AJ, Golden S, Zapinsky J, Fracchia JA. Primary intrascrotal nontesticular schwannoma. Urology. 1995;26(3):304–306. https://doi.org/10.1016/0090-4....
 
6.
Sato D, Kase T, Tajima M, et al. Penile schwannoma. Int J Urol. 2001;8(2):87–89. https://doi.org/10.1046/j.1442....
 
7.
Guha A, Bilbao J, Kine DG, Hudson AR. Tumors of the peripheral nervous system, In: Youman J, ed. Youman’s Neurological Surgery. 4th Ed. Vol. 4. Philadelphia: W.B. Saunders 1996:3175–3187.
 
8.
Okamura K, Ito K, Aota Y, Suzuki Y, Shimoji T. [A case report of retroperitoneal malignant schwannoma]. Hinyokika Kiyo. 1984;30(8):1045–1051 [in Japanese].
 
9.
Barrero Candau R, Ramirez Mendoza A, Morales Lopez A, et al. [Benign adrenal schwannoma]. Arch Esp Urol. 2002;55(7):858–860 [in Spanish].
 
10.
Shamsa A, Omidi A. Huge primary intrascrotal Schwannoma: a case report and review of the literature. Med J Islam Repub Iran. 2004;18(1)1:85–86.
 
11.
Janaka A, Hettiarachchi Michael P, Finkelstein Alec M, et al. A Benign retroperitoneal Schwannoma presenting as a giant adrenal tumour. Urol Int. 2003;71(2):231–232. https://doi.org/10.1159/000071....
 
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