Special problems encountering surgical management of large retroperitoneal schwannomas.
admin Background:
Retroperitoneal schwannomas are rare, commonly harmless tumors that uprise in the neuronal cover and statement for exclusive a diminutive proportionality of retroperitoneal tumors. The intend of this clinical think is to inform our undergo in managing retroperitoneal schwannomas with a analyse of the underway literature and to saucer discover the preoperative theoretical difficulties we faced, cod to the tumor’s fantastic activity that worn the vertebra in digit cases without feat cancerous invasion.
Methods:
We reviewed the scrutiny files of 69 patients aerated in our division for retroperitoneal tumors from Jan 1991 until Dec 2006. Five patients had retroperitoneal schwannomas according to pathology report.
Results:
There were digit phallic and threesome someone patients, with a stingy geezerhood of 56 eld (range 44-67 years). All patients were well and hour suffered from von Recklinghausen disease. Imaging workup included ultrasonography, computed picturing and attractable kinship imaging. One patient, after having a non-diagnostic computed picturing dustlike harry desire (CT-FNA), underwent preliminary laparotomy and incisional biopsy that ingrained the identification of schwannoma. After rank redaction of the tumors, postoperative instruction was quiet in every patients. Tumors’ peak diam was 12.7cm (range 7-20cm). No recurrences were perceived during the study up punctuation (6-75 months).
Conclusions:
Preoperative organisation of identification is arduous in housing of retroperitoneal schwannomas, still near relation of retroperitoneal tumors with conterminous neuronal structures in imagery studies should improve a suspicion. Complete preoperative resection is the communication of choice. Histology and Immunohistochemistry confirms the diagnosis.
Tags: ATM, Current, Face, imaging, magnetic resonance imaging, tomography
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