IMR Press / EJGO / Volume 26 / Issue 1 / pii/2005126

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report

Pelvic retroperitoneal schwannoma presenting as a gynecologic mass: Case report

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1 Department of Obstetrics & Gynecology, State General Hospital of Ioannina “G. Chatzikosta”, Ioannina (Greece)
2 Department of Surgery, State General Hospital of Ioannina “G. Chatzikosta”, Ioannina (Greece)
3 State General Hospital of Ioannina “G. Chatzikosta”, Ioannina (Greece)
Eur. J. Gynaecol. Oncol. 2005, 26(1), 117–119;
Published: 10 February 2005
Abstract

Schwannomas of the sacral plexus are retroperitoneal tumors, usually benign, that result from proliferation of perineural cells. They are rare, pelvic, well defined tumors that present infrequently as gynecologic masses. Misdiagnosis is not uncommon in these cases, since these masses are not often encountered in clinical practice and preoperative imaging methods can be only suggestive of the diagnosis. Furthermore, these masses are not often encountered in clinical practice. We report a case of a 28-year-old woman who presented with a pelvic mass and obscure clinical signs. Imaging methods suggested that this tumor was most probably an ovarian mass of embryonic origin. After dissection by laparotomy, the microscopic examination showed typical futures of a neurile­moma (ancient schwannoma). The goal of the operating intervention is to excise the tumor avoiding major trauma, thus coopera­tion between surgeons is indispensable. The patient has had no motor or sensory disturbances after surgery.

Keywords
Pelvic mass
Schwannoma
Diagnosis
Resection
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