tailieunhanh - Báo cáo y học: " Rare presentation of pancreatic schwannoma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Rare presentation of pancreatic schwannoma: a case report | Journal of Medical Case Reports BioMed Central Case report Rare presentation of pancreatic schwannoma a case report Arash Mohammadi Tofigh 1 Mohammad Hashemi2 Behzad Nemati Honar1 and Fereidoon Solhjoo2 Open Access Address Department of Surgery Imam Hussein Hospital Shahid Beheshti University MC Tehran Iran and 2Department of Pathology Imam Hussein Hospital Shahid Beheshti University MC Tehran Iran Email Arash Mohammadi Tofigh - arash_mtofigh@ Mohammad Hashemi - m_hashemi@ Behzad Nemati Honar - Fereidoon Solhjoo - f_solhjoo@ Corresponding author Published 12 August 2008 Received 16 April 2008 Journal of Medical Case Reports 2008 2 268 doi 1752-1947-2-268 Accepted 12 August 2008 This article is available from http content 2 1 268 2008 Tofigh et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Schwannoma is a rare tumor among pancreatic neoplasms. Schwannomas vary in size and most of them are cystic mimicking pancreatic cystic lesions. Generally a definitive diagnosis is made at the time of histological analysis. The mainstay treatment is surgical resection. Case presentation We report an unusual presentation of pancreatic schwannoma with abdominal pain and several episodes of cholangitis in a 54-year-old Caucasian Iranian man. The condition was not diagnosed pre-operatively and Whipple s procedure was performed. Conclusion Pancreatic schwannoma is an important clinical entity to include in the differential diagnosis of pancreatic lesions. Pre-operative diagnosis is difficult but computed tomographic findings may be helpful. The tumor may also have atypical and rare presentations such as cholangitis and weight loss. .