Case Report
Schwannoma Masquerading As A Pathologic Lymph Node in A Patient with Colon Adenocarcinoma: A Case Report
Abstract
Presacral schwannomas are rare, usually asymptomatic, and benign tumors. In this case report, a 57-year-old male patient was found to have a presacral schwannoma during follow-up after undergoing surgery for colon cancer. Initially, the lesion was considered to be a lymph node metastasis, but histopathological examination confirmed the diagnosis of schwannoma postoperatively. Presacral schwannomas are typically more accurately diagnosed using Magnetic Resonance Imaging (MRI), although Computed Tomography (CT) scans can also be helpful in the diagnostic process. Surgical treatment requires different approaches depending on the tumor's location, and the surgery can be challenging due to the tumor's anatomical position.
Keywords
References
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- 2. Leclerc, Arthur, et al. "Management of giant presacral schwannoma. Clinical series and literature review." Clinical Neurology and Neurosurgery 200 (2021): 106409
- 3. Pennington, Zach, et al. "Surgical management of giant presacral schwannoma: systematic review of published cases and meta-analysis: Presented at the 2019 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves." Journal of Neurosurgery: Spine 31.5 (2019): 711-722
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- 5. Camacho, Jael E., et al. "Perineal and radicular pain caused by contralateral sacral nerve root schwannoma: case report and review of literature." World neurosurgery 129 (2019): 210-215
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- 7. Lin Y, Li H, Sun Y, Zhang Z, Chen Z. Presacral Schwannoma: A Case Report and Literature Review. World Journal of Surgical Oncology. 2016;14(1):1-6.
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- 20. Paschos, K., et al. "Recent advances in the diagnosis and treatment of presacral tumours." Clin Surg 2 (2017): 1496.
Year 2025,
Volume: 47 Issue: 4, 643 - 647, 18.06.2025
Abstract
Presakral schwannomalar nadir görülen, genellikle asemptomatik, iyi huylu tümörlerdir. Bu olgu sunumunda, 57 yaşında erkek bir hasta kolon kanseri nedeniyle ameliyat edildikten sonra takiplerinde, presakral alanda schwannoma tespit edildi. Lezyona başlangıçta lenf nodu metastazı olarak değerlendirildi ancak cerrahi sonrası patoloji sonucu ile schwannoma tanısı konuldu. Presakral schwannomalar, genellikle Manyetik Rezonans Görüntüleme (MRG) ile daha net tanı alır, ancak tanı da BT (Bilgisayrarlı Tomografi) taramaları da kullanılır. Cerrahi tedavi, tümörün konumuna göre farklı yaklaşımlar gerektirir ve tümörün konumuna göre cerrahisi zorlu olabilir.
Keywords
References
- 1. Houcine, Magherbia,b; Yacine, Ouadia,b,*; Mehdi, Hammamia,b; Alia, Zehanib,e; Seif, Boukribab,c; Murad, Zerab,d; Samir, Fterich Fadhela,b; Kacem, Montassera,b. Presakral schwannomun cerrahi tedavisi: Olgu sunumu. Tıp ve Cerrahi Yıllıkları 83():, Kasım 2022. |
- 2. Leclerc, Arthur, et al. "Management of giant presacral schwannoma. Clinical series and literature review." Clinical Neurology and Neurosurgery 200 (2021): 106409
- 3. Pennington, Zach, et al. "Surgical management of giant presacral schwannoma: systematic review of published cases and meta-analysis: Presented at the 2019 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves." Journal of Neurosurgery: Spine 31.5 (2019): 711-722
- 4. Mualem, W., Ghaith, AK., Rush, D. et al. Surgical management of sacral schwannomas: a 21-year mayo clinic experience and comparative literature analysis. J Neurooncol 159, 1–14 (2022).
- 5. Camacho, Jael E., et al. "Perineal and radicular pain caused by contralateral sacral nerve root schwannoma: case report and review of literature." World neurosurgery 129 (2019): 210-215
- 6. Owens, T. C., de Lomba, W. C., Schroeder, C. B., Mingrino, J., Fridley, J., Oyelese, A. A., Miner, T. J., Liu, P. Y., Woo, A. S., Gokaslan, Z. L., & Zadnik Sullivan, P. (2024). Excision of a supergiant spinal schwannoma: illustrative case. Journal of Neurosurgery: Case Lessons, 8(19), CASE24224.
- 7. Lin Y, Li H, Sun Y, Zhang Z, Chen Z. Presacral Schwannoma: A Case Report and Literature Review. World Journal of Surgical Oncology. 2016;14(1):1-6.
- 8. Camacho, Jael E., et al. "Perineal and radicular pain caused by contralateral sacral nerve root schwannoma: case report and review of literature." World neurosurgery 129 (2019): 210-215.
- 9. Andrej, Omejc, Vegan Lucija, and Omejc Mirko. "Giant pelvic schwannoma presenting with increased urinary frequency-Case report." International Journal of Surgery Case Reports 93 (2022): 106934.
- 10. Ray, M., Jayakumar, P., Mishra, A. et al. Schwannoma in Pelvis: A Diagnostic Dilemma. Indian J Gynecol Oncolog 15, 46 (2017). https://doi.org/10.1007/s40944-017-0133-1
- 11. Ibrahim, Mehfoud, et al. "Unusual Giant Pre-Sacral Multicystic Schwannoma: A Case Report and Differential Diagnosis." Open Journal of Radiology 14.3 (2024): 103-112.
- 12. Baek SK, Hwang GS, Rose PS, Longo WE. Retrorectal Tumors: A Comprehensive Literature Review. World Journal of Surgical Oncology. 2007;5:116.
- 13. Linsenmaier U, Krotz M, Kanz KG, Pfeifer KJ, Mutschler W, Reiser M. Presacral Tumors: A Practical Imaging Approach for Diagnosis. Journal of Clinical Imaging. 2006;30(5):333-339.
- 14. Hassan I, Wietfeldt ED. Retrorectal Developmental Cysts in Adults: Clinical and Radiologic Evaluation. International Journal of Colorectal Disease. 2009;24(11):1241-1246.
- 15. Krivokapic Z, Dimitrijevic I, Barisic G, Markovic V. Presacral Tumors: Diagnosis and Management. Acta Chirurgica Iugoslavica. 2008;55(1):21-26.
- 16. Noij DP, Martens RM, Koopman T, Hoekstra OS, Comans EFI, Zwezerijnen B, de Bree R, de Graaf P, Castelijns JA. Use of Diffusion-Weighted Imaging and 18 F-Fluorodeoxyglucose Positron Emission Tomography Combined With Computed Tomography in the Response Assessment for (Chemo)radiotherapy in Head and Neck Squamous Cell Carcinoma. Clin Oncol (R Coll Radiol). 2018;30(9):608-619.
- 17. Hamdy, Omar, et al. "Retrospective cohort study of the characteristics and outcome of surgical treatment of pelvic neurogenic and presacral tumors." Interdisciplinary Neurosurgery 28 (2022): 101496
- 18. Lee BH, Hyun SJ, Park JH, Kim KJ. Single Stage Posterior Approach for Total Resection of Presacral Giant Schwannoma: A Technical Case Report. Korean J Spine. 2017 Sep;14(3):89-92. doi: 10.14245/kjs.2017.14.3.89. Epub 2017 Sep 30. PMID: 29017303; PMCID: PMC5642101
- 19. Makni, A., et al. "Presacral schwannoma." Journal of Visceral Surgery 149.6 (2012): 426-427.
- 20. Paschos, K., et al. "Recent advances in the diagnosis and treatment of presacral tumours." Clin Surg 2 (2017): 1496.
There are 20 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | General Surgery |
| Journal Section | OLGU SUNUMU |
| Authors | |
| Publication Date | June 18, 2025 |
| Submission Date | February 2, 2025 |
| Acceptance Date | March 19, 2025 |
| Published in Issue | Year 2025 Volume: 47 Issue: 4 |