Exp Clin Endocrinol Diabetes 2000; Vol. 108(4): 318-321
DOI: 10.1055/s-2000-7760
Case Report

© Johann Ambrosius Barth

Retroperitoneal schwannoma presenting as an adrenal tumor

D. Pittasch 1 , S. Klose 1 , J. Schmitt 2 , A. Roessner 2 , K. Ridwelski 3 , H. Lippert 3 , H. Lehnert 1
  • 1 Department of Endocrinology and Metabolism, 2 Department of Pathology, 3 Department of Visceral Surgery, Otto-von-Guericke-University, Magdeburg, Germany
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Publikationsverlauf

Publikationsdatum:
31. Dezember 2000 (online)

Summary:

A retroperitoneal tumor in the region of the adrenal gland was diagnosed in a 56-year-old woman. The patient had been suffering from a dull abdominal pain for nearly four weeks before consulting her family physician. Ultrasound, CT and MRI scans revealed a giant tumor of the right adrenal gland. Endocrine activity could not be demonstrated. The size of the tumor was suggestive of an adrenal carcinoma. The patient was referred for adrenalectomy and complete exstirpation of the retroperitoneal mass. The histological examination revealed characteristical findings of a benign schwannoma.

References

  • 1 Bastounis E, Asimacopoulos P J, Pikoulis E, Leppäniemi E K, Aggouras D, Papakonstadinou K, Papalambros E. Benign retroperitonal neural sheath tumor in patients without von Recklinghausen's disease.  Scand J Urol Nephrol. 31 129-136 1997; 
  • 2 De las Heras Nino B, Solano Lopez D, Obregon Perea F, Farina Sarasqueta S, Hinojal Ortega C, Echevarria Villegas P. Malignant schwannoma as a cause of Addison's disease.  An Med Interna. 6 435-436 1989; 
  • 3 Fabbro M A, Costa L, D'Agostino S, Musi L, Belloli G P. Juxta-adrenal malignant schwannoma.  Pediatr Surg Int. 12 532-534 1997; 
  • 4 Hardisson D, Picazo M L, Nunez C, Jimenez-Heffernan J A, de la Pena J. Retroperitonal melanocytic schwannoma.  Br J Urol. 79 1003-1004 1997; 
  • 5 Jow W, Satchidanand S, Spinazze E, Lillie D. Malignant juxtaadrenal schwannoma.  Urology. 38 383-386 1991; 
  • 6 Loke T K, Yuen N W, Lo K K, Lo J, Chan J C. Retroperitonal ancient schwannoma: review of clinico-radiological features.  Australas Radiol. 42 138 1998; 
  • 7 Maeshima S, Nakamura H, Nishikawa M, Murakami T, Mitani T, Marukawa T, Hori S, Kozuka T, Irimoto M. Retroperitonal schwannomas simulating adrenal tumors.  Clin Imaging. 16 121-124 1992; 
  • 8 Micali S, Virgili G, Vespasiani G, Silecchia A, D'Alessandro P, Micali F. Benign schwannoma surrounding and obstructing the ureteropelvic junction. First case report.  Eur Urol. 32 121-123 1997; 
  • 9 Miettinen M, Saari A. Pheochromocytoma combined with malignant schwannoma: unusual neoplasm of the adrenal medulla.  Ultrastruct Pathol. 12 513-527 1988; 
  • 10 Mortele K, Lemmerling M, Defreyne L, Speleman F, De Potter C, Van Belle S, Kunnen M. Ossified retroperitoneal malignant schwannoma with spinal leptomeningeal metastases.  Neuroradiology. 40 48-50 1998; 
  • 11 Nakamura M, Takayama T, Takayasu K, Shimada K, Yamamoto J, Kosuge T, Sakamoto M, Yamasaki S, Shimizu S, Makuchi M. Retroperitonal schwannoma mimicking hepatic tumor in the caudate lobe.  Jpn J Clin Oncol. 27 282-284 1997; 
  • 12 Schlote W, Riede U N. Peripheral nervous system. In: Riede UN, Schäfer HE (eds). Common and special pathology, 3rd edn pp 1089-1094 Thieme, Stuttgart, New York 1993
  • 13 Schlote W, Riede U N, Wiestler O D. Central nervous system. In: Riede UN, Schäfer HE (eds). Common and special pathology, 3rd edn pp 1022-1088 Thieme, Stuttgart, New York 1993
  • 14 Skin K H, Moon S H, Suh J S, Jhang J S. Multiple neurilemnomas. A case report.  Clin Orthop. 357 171-175 1998; 

Prof. Dr. Hendrik Lehnert

Zentrum für Innere Medizin

Klinik für Endokrinologie und Stoffwechselkrankheiten

Otto-von-Guericke-Universität

Medizinische Fakultät

Leipziger Straße 44

D-39120 Magdeburg

Telefon: +49-3 91-67-1 54 45

Fax: +49-3 91-67-1 54 48

eMail: hendrik.lehnert@medizin.uni-magdeburg.de

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