Pancreatic schwannoma. A case report and review of the literature

Trung D. Bui, Tien Nguyen, Sergio Huerta, Mai Gu, David Hsiang

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Context: Pancreatic schwannomas are rare neoplasms. These tumors vary in size and two thirds are partially cystic which grossly mimic pancreatic cystic lesions. Computed tomography and magnetic resonance imaging are the primary initial imaging modalities. Definitive diagnosis is typically made at the Definitive diagnosis is typically made at the time of laparotomy following biopsy. Surgical resection is the mainstay of treatment. Case report: A 69-year-old woman presented with abdominal pain in the epigastric and left upper quadrant. The patient had no systemic symptom and laboratory results including tumor markers were negative. A CT scan of the abdomen showed a 5 cm mass arising from the head of the pancreas. Needle biopsy revealed a mass consistent with schwannoma. At laparotomy, a large pancreatic head mass was found to encase the superior mesenteric artery, and portal vein confluence. Frozen biopsy showed schwannoma. Curative resection was deferred due to extensive vascular involvement and favorable tumor biology. A gastrojejunostomy was performed and radiation therapy was instituted post-operatively. Conclusions: Only 24 cases of pancreatic schwannoma had been previously reported. Definitive diagnosis is obtained with routine histology. Most tumors are benign and surgical resection is curative. The role of radiation therapy in the management of unresectable tumors is still unclear.

Original languageEnglish (US)
Pages (from-to)520-526
Number of pages7
JournalJournal of the Pancreas
Volume5
Issue number6
StatePublished - Nov 1 2004

Keywords

  • Neurilemmoma
  • Pancreas
  • Radiotherapy

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Hepatology
  • Endocrinology

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    Bui, T. D., Nguyen, T., Huerta, S., Gu, M., & Hsiang, D. (2004). Pancreatic schwannoma. A case report and review of the literature. Journal of the Pancreas, 5(6), 520-526.