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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
Schwannomas of female genitalia from a gynaecologist's perspective: report of two cases and review of the literature
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1
Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Jinan City, China
2
Department of Gynecologic Oncology, Shandong Academy of Medical Science, Jinan City, China
3
Cancer Prevention and Research Institute of Shandong Province, Jinan City, China
Eur. J. Gynaecol. Oncol. 2016, 37(2), 254–257;
https://doi.org/10.12892/ejgo2805.2016
Published: 10 April 2016
Abstract
Background: Pelvic schwannomas are extremely rare. However, when located in the pelvic cavity, schwannomas are often encountered by a gynaecologist, not a general surgeon, and are misdiagnosed as gynaecologic masses. Case Report: Here, the authors present two cases of pelvic schwannomas that were preoperatively misdiagnosed as broad ligament fibroid. One schwannoma occurred completely in the left broad ligament and was resected by laparoscopy without any complications. The other lesion was located in the retroperitoneum and had densely adhered to the surrounding tissues; this lesion was excised by laparotomy with considerable blood loss. Conclusions: Schwannomas of female genitalia are very scarce and difficulty to diagnose preoperatively. Literature review revealed 63 schwannomas arising from the female genital tract in total, 73.02% (46 cases) were located in the lower genital tract, and 26.98% (17 cases) were located in upper genital tract. The treatment modality is unique depending on the location of the tumor. Complete excision is benefical for diagnosis and treatment. The procedure can be performed safely under laparoscopy.
Keywords
Neurilemmoma
Laparoscopy
Pelvic neoplasms
Genital neoplasms
Female