Carvalho Bárbara Justo, de Almeida Medeiros Kayo Augusto, Martines Diego Ramos, Nii Fernanda, Pipek Leonardo Zumerkorn, de Mesquita Gustavo Heluani Antunes, D'Albuquerque Luiz Augusto Carneiro, Meyer Alberto, Andraus Wellington
Faculdade de Medicina da Universidade de São Paulo, Avenida Doutor Arnaldo, 455, São Paulo, SP, 01246-903, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Avenida Doutor Enéas Carvalho de Aguiar, 155, São Paulo, SP, 05403-000, Brazil.
BMC Surg. 2019 Oct 22;19(1):148. doi: 10.1186/s12893-019-0611-8.
We are a reporting a rare case of retroperitoneal schwanomma with atypical pre and postoperative manifestations. Retroperitoneal schwannomas are rare tumors that are difficult to preoperatively diagnose.
This is a case report of a male patient, 41 years old, with symptoms of hipogastric and lower right member pain, as well as a history of a papilliferous thyroid tumor. Computerized tomography exams were inconclusive, showing a mass in the presacral region with dimensions of 4.4 × 3.9 × 3.4 cm. Removal was carried out by laparoscopic surgery, with self-limited postoperative complications. Diagnosis was carried out by anatomopathological examination, and syndromic hypotheses were discarded.
The postoperative complications of schwanomma are little reported in the literature. In the simultaneous occurrence of schwanomma and other endocrine tumors, further studies are warranted to better differentiate the cases that need investigation of syndromic causes.
我们报告一例罕见的腹膜后神经鞘瘤，其术前和术后表现均不典型。腹膜后神经鞘瘤是罕见肿瘤，术前难以诊断。
这是一例41岁男性患者的病例报告，患者有下腹部和右下肢疼痛症状，并有乳头状甲状腺肿瘤病史。计算机断层扫描检查结果不明确，显示骶前区有一个大小为4.4×3.9×3.4厘米的肿块。通过腹腔镜手术进行切除，术后并发症为自限性。通过解剖病理学检查进行诊断，并排除了综合征假说。
神经鞘瘤的术后并发症在文献中报道较少。在神经鞘瘤与其他内分泌肿瘤同时发生的情况下，有必要进行进一步研究，以更好地区分需要调查综合征病因的病例。
