Retroperitoneal Schwannoma with Gastric Schwannoma: A Case Report and Review of the Literature_West China Medical Journal

Authors：

REN Shangqing ¹ , LIU Liangren ¹ , DENG Shi ¹ , DONG Tian ² ,  DONG Qiang ¹

1. Department of Urology; 2. Department of Hematology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

DONG Qiang, Email: rsq0516@163.com

Keywords：

神经鞘瘤; 腹膜后; 胃

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目的　总结1例腹膜后神经鞘瘤合并胃神经鞘瘤的临床诊疗方法。方法　2010年12月收治1例女性患者，因呕血行CT检查发现胃体前壁及右肾上腺区占位入院，行胃楔形切除术及右肾上腺肿瘤切除术治疗。结果　术后病理证实为腹膜后神经鞘瘤合并胃神经鞘瘤，随访半年无复发。结论　腹膜后神经鞘瘤合并胃神经鞘瘤病例罕见且诊断困难，影像学检查缺乏特异性，可依靠术后病理检查确诊；外科手术完整切除肿瘤是有效的治疗方法，预后较好。

Citation： REN Shangqing,LIU Liangren,DENG Shi,DONG Tian,DONG Qiang. Retroperitoneal Schwannoma with Gastric Schwannoma: A Case Report and Review of the Literature. West China Medical Journal, 2012, 27(5): 681-683. doi: Copy

1.	Toh LM, Wong SK. A case of cystic schwannoma of the lesser sac[J]. Ann Acad Med Singapore, 2006, 35(1): 45-48.
2.	Ozkan EE, Guldur ME, Uzunkoy A. A case report of benign schwannoma of the liver[J]. Intern Med, 2010, 49(15): 1533-1536.
3.	Theodosopoulos T, Stafyla VK, Tsiantoula P, et al. Special problems encountering surgical management of large retroperitoneal schwannomas[J]. World J Surg Oncol, 2008, 6: 107.
4.	Kudo T, Kawakami H, Kuwatani M, et al. Three cases of retroperitoneal schwannoma diagnosed by EUS-FNA[J]. World J Gastroenterol，2011, 17(29): 3459-3464.
5.	Turitto G, Di Bisceglie M, Moraca L, et al. Retroperitoneal schwannoma: a case report[J]. Recenti Prog Med, 2011, 102(7-8）: 307-309.
6.	Bo?oteanu M, Bo?oteanu C, Deacu M, et al. Differential diagnosis of a gastric stromal tumor: case report and literature review[J]. Rom J Morphol Embryol, 2011, 52(4): 1361-1368.
7.	Bees NR, Ng CS, Dicks-Mireaux C, et al. Gastric malignant schwannoma in a child[J]. Br J Radiol, 1997, 70(837): 952-955.
8.	Chiang ER, Chang MC, Chen TH. Giant retroperitoneal schwannoma from the fifth lumbar nerve root with vertebral body osteolysis: a case report and literature review[J]. Arch Orthop Trauma Surg, 2009, 129(4): 495-499.
9.	Yoon HY, Kim CB, Lee YH. Gastric schwannoma[J]. Yonsei Med J, 2008, 49(6): 1052-1054.
10.	沈华, 周鹤同. 腹膜后神经鞘瘤 1例报告并文献复习[J]. 现代泌尿外科杂志, 2009, 14(4): 265-267.
11.	Fanburg-Smith JC, Majidi M, Miettinen M. Keratin expression in schwannoma: a study of 115 retroperitoneal and 22 peripheral schwannomas[J]. Mod Pathol, 2006, 19(1): 115-121.
12.	Imao T, Seki M, Amano T, et al. Laparoscopic resection of retroperitoneal schwannoma：report of three cases and review of 22 cases in Japanese literature[J]. Hinyokika Kiyo, 2011, 57(9): 491-495.
13.	Hur BY, Kim SH, Choi JY, et al. Gastroduodenal glomus tumors: differentiation from other subepithelial lesions based on dynamic contrast-enhanced CT findings[J]. AJR Am J Roentgenol，2011，197(6): 1351-1359.
14.	Inokuchi T, Takiuchi H, Moriwaki Y. Retroperitoneal ancient schwannoma presenting as an adrenal incidentaloma: CT and MR findings[J]. Magn Reson Imaging, 2006, 24(10): 1389-1393.
15.	Hong HS, Ha HK, Won HJ, et al. Gastric schwannomas: radiological features with endoscopic and pathological correlation[J]. Clin Radiol, 2008, 63(5): 536-542.
16.	Narasimha A, Kumar MH, Kalyani R, et al. Retroperitoneal cystic schwannoma: A case report with review of literature[J]. J Cytol, 2010, 27(4): 136-139.
17.	Euanorasetr C, Suwanthanma W. Gastric schwannoma presenting with perforation and abscess formation: a case report and literature review[J]. J Med Assoc Thai, 2011, 94(11): 1399-1404.
18.	Senoglu M, Bulbuloglu E, Demirpolat G, et al.The anterior extraperitoneal approach to the rare presacral/ retroperitoneal schwannoma[J]. Bratisl Lek Listy, 2010, 111(10): 558-561.

1. 　Toh LM, Wong SK. A case of cystic schwannoma of the lesser sac[J]. Ann Acad Med Singapore, 2006, 35(1): 45-48.
2. 　Ozkan EE, Guldur ME, Uzunkoy A. A case report of benign schwannoma of the liver[J]. Intern Med, 2010, 49(15): 1533-1536.
3. 　Theodosopoulos T, Stafyla VK, Tsiantoula P, et al. Special problems encountering surgical management of large retroperitoneal schwannomas[J]. World J Surg Oncol, 2008, 6: 107.
4. 　Kudo T, Kawakami H, Kuwatani M, et al. Three cases of retroperitoneal schwannoma diagnosed by EUS-FNA[J]. World J Gastroenterol，2011, 17(29): 3459-3464.
5. 　Turitto G, Di Bisceglie M, Moraca L, et al. Retroperitoneal schwannoma: a case report[J]. Recenti Prog Med, 2011, 102(7-8）: 307-309.
6. 　Bo?oteanu M, Bo?oteanu C, Deacu M, et al. Differential diagnosis of a gastric stromal tumor: case report and literature review[J]. Rom J Morphol Embryol, 2011, 52(4): 1361-1368.
7. 　Bees NR, Ng CS, Dicks-Mireaux C, et al. Gastric malignant schwannoma in a child[J]. Br J Radiol, 1997, 70(837): 952-955.
8. 　Chiang ER, Chang MC, Chen TH. Giant retroperitoneal schwannoma from the fifth lumbar nerve root with vertebral body osteolysis: a case report and literature review[J]. Arch Orthop Trauma Surg, 2009, 129(4): 495-499.
9. 　Yoon HY, Kim CB, Lee YH. Gastric schwannoma[J]. Yonsei Med J, 2008, 49(6): 1052-1054.
10. 　沈华, 周鹤同. 腹膜后神经鞘瘤 1例报告并文献复习[J]. 现代泌尿外科杂志, 2009, 14(4): 265-267.
11. 　Fanburg-Smith JC, Majidi M, Miettinen M. Keratin expression in schwannoma: a study of 115 retroperitoneal and 22 peripheral schwannomas[J]. Mod Pathol, 2006, 19(1): 115-121.
12. 　Imao T, Seki M, Amano T, et al. Laparoscopic resection of retroperitoneal schwannoma：report of three cases and review of 22 cases in Japanese literature[J]. Hinyokika Kiyo, 2011, 57(9): 491-495.
13. 　Hur BY, Kim SH, Choi JY, et al. Gastroduodenal glomus tumors: differentiation from other subepithelial lesions based on dynamic contrast-enhanced CT findings[J]. AJR Am J Roentgenol，2011，197(6): 1351-1359.
14. 　Inokuchi T, Takiuchi H, Moriwaki Y. Retroperitoneal ancient schwannoma presenting as an adrenal incidentaloma: CT and MR findings[J]. Magn Reson Imaging, 2006, 24(10): 1389-1393.
15. 　Hong HS, Ha HK, Won HJ, et al. Gastric schwannomas: radiological features with endoscopic and pathological correlation[J]. Clin Radiol, 2008, 63(5): 536-542.
16. 　Narasimha A, Kumar MH, Kalyani R, et al. Retroperitoneal cystic schwannoma: A case report with review of literature[J]. J Cytol, 2010, 27(4): 136-139.
17. 　Euanorasetr C, Suwanthanma W. Gastric schwannoma presenting with perforation and abscess formation: a case report and literature review[J]. J Med Assoc Thai, 2011, 94(11): 1399-1404.
18. 　Senoglu M, Bulbuloglu E, Demirpolat G, et al.The anterior extraperitoneal approach to the rare presacral/ retroperitoneal schwannoma[J]. Bratisl Lek Listy, 2010, 111(10): 558-561.

West China Medical Journal

Retroperitoneal Schwannoma with Gastric Schwannoma: A Case Report and Review of the Literature

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