Noradrenalin-Secreting Retroperitoneal Schwannoma Resected by Hand-Assisted Laparoscopic Surgery: Report of a Case |
| |
Authors: | Tomohide Hori Kentaro Yamagiwa Shintaro Yagi Taku Iida Kentaro Taniguchi Chiduru Yamamoto Yukitsuna Eshita Yuji Kozuka Haruyuki Takaki Takuma Kato Kanako Saito Mie Torii Syuji Isaji Shinji Uemoto |
| |
Affiliation: | (1) First Department of Surgery, Mie University Graduate School of Medicine, 2-17-4 Edobashi, Tsu Mie, 514-8507, Japan;(2) Second Department of Pathology, Mie University Graduate School of Medicine, 2-17-4 Edobashi, Tsu Mie, 514-8507, Japan;(3) Department of Radiology, Mie University Graduate School of Medicine, 2-17-4 Edobashi, Tsu Mie, 514-8507, Japan;(4) Department of Cellular and Molecular Immunology, Mie University Graduate School of Medicine, 2-17-4 Edobashi, Tsu Mie, 514-8507, Japan;(5) Second Department of Internal Medicine, Mie University Graduate School of Medicine, 2-17-4 Edobashi, Tsu Mie, 514-8507, Japan |
| |
Abstract: | A 66-year-old woman was admitted to our hospital for investigation of a retroperitoneal mass. She was asymptomatic but her serum noradrenalin and vanillylmandellic acid levels were increased remarkably. Computed tomographic angiography showed a mass in the left side of the superior mesenteric artery (SMA) divergence, 6 × 4 cm in size, supplied mainly by the left adrenal artery. We performed hand-assisted laparoscopic surgery (HALS) using a Cavitron ultrasonic surgical aspirator. Abdominal exploration revealed that the tumor was located in the left side of the SMA root, but was not adhered to the adjacent organs. Her vital signs remained stable during the operation. Microscopic examination revealed a palisade formation, confirming a histopathological diagnosis of degenerated schwannoma (Antoni type B). Immunohistologically, the tumor cells were stained with S-100 protein and neuron-specific enolase. Her noradrenalin level normalized immediately after the operation and she remains in good health 3 years 2 months later. |
| |
Keywords: | Schwannoma Retroperitoneum Catecholamine Gastrointestinal stromal tumor Hand-assisted laparoscopic surgery |
本文献已被 PubMed SpringerLink 等数据库收录! |
|