Melanotic Schwannoma of the Pancreas: Report of a Case

Autor: Akiyoshi, Takashi, Ueda, Yuji, Yanai, Kohsuke, Yamaguchi, Hiroshi, Kawamoto, Masahiko, Toyoda, Kiyokazu, Hayashi, Tohru, Ohuchida, Jiro
Zdroj: Surgery Today; 20040601, Vol. 34 Issue: 6 p550-553, 4p
Abstrakt: We report a case of pancreatic melanotic schwannoma mimicking an epithelial cystic neoplasm of the pancreas. A 67-year-old Japanese woman underwent routine ultrasonography, which showed a large cystic mass in the head of the pancreas. Contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI) showed an inhomogeneous, round cystic mass, which was encapsulated, in the head of the pancreas. We performed pyrolus-preserving pancreatoduodenectomy under the tentative diagnosis of a cystic neoplasm of the pancreas. The histopathologic diagnosis was benign melanotic schwannoma. The patient is now well after 43 months of follow-up. We describe the CT and MRI findings in detail, and review the literature on previously reported cases of pancreatic schwannoma.
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