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Image of the Month—Diagnosis
Arch Surg. 2006;141:1260-1261.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Answer: Retroperitoneal Schwannoma
Exploratory laparotomy revealed a mass, likely arising from the left adrenal gland, without any signs of infiltration of the pancreas (Figure 2). A left adrenalectomy was performed en bloc with the aforementioned lesion. At pathologic evaluation, the mass was clearly separated from the adrenal gland by a fibrous pseudocapsule. Results of histologic and immunohistochemical examination (intense staining for S100 using the alkaline phosphatase–anti–alkaline phosphatase method) were consistent with the diagnosis of schwannoma. At 65 months of follow-up, the patient was doing very well, with no signs of local or distant recurrence on a computed tomographic scan.
Figure appears in full text version.
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Figure 2. At surgical exploration, a 7-cm cystic mass was found in the upper left retroperitoneum, probably deriving from the left adrenal gland; the lesion was adjacent to the pancreas but did not infiltrate it.
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Schwannomas are a rare group of soft tissue tumors originating from the peripheral nerve sheath; they can . . . [Full Text of this Article]
AUTHOR INFORMATION
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