Presakral dev schwannom: Olgu sunumu ve literatür derlemesi

Schwannoma, periferik sinir kılıfından kaynaklanan, oldukça yavaş büyüyen benign tümördür. Akut apandisit teşhisiyle servise yatırılan 34 yaşındaki erkek hastanın dijital rektal muayenesinde rektum posterior kısmında ekstraluminal kitle tespit edildi İlk operasyonda appendektomi ve kitleden biopsi yapıldı. 1 ay sonra tekrar laparotomi yapılarak kitle tamamen çıkarıldı. Presakral bölge tümörlerinde optimal tedavi cerrahi ekstirpasyon olmakla birlikte, yaklaşım ve operasyon şekli konusu tartışmalıdır.

Presacral giant schwannoma: A case report and review of the literature

Schwannomas arising from the peripheral nerve sheath is very slow-growing benign tumor. A 34 -years-old male patient was hospitalized with a diagnosis of acute ap- pendicitis, and the digital rectal examination revealed ex - traluminal mass of rectum. After diagnosis appendectomy and biopsy of the mass was performed. 1 month after, the mass was completely excised by laparotomy. Although extirpation is the optimal surgical treatment of tumors of the presacral region, the surgical approach and type of surgery is controversial.

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1. Patocskai EJ, Tabatabaian M, Thomas MJ. Cellular schwan - noma: a rare presacral tumour. Can J Surg 2002;45:141- 144.
2. Daneshmand S, Youssefzadeh D, Chamie K, et al. Benign retroperitoneal schwannoma: a case series and review of the literature. Urology 2003;62:993-997.
3. Localio SA, Eng K, Ranson JH. Abdominosacral approach for retrorectal tumors. Ann Surg 1980;191:555-560.
4. Tong RS, Collier N, Kaye AH. Chronic sciatica secondary to retroperitoneal pelvic schwannoma. J Clin Neurosci 2003;10:108-111.
5. Shoher A, Arbab F, Lucci A, Jr. Giant pelvic schwannoma with ancient change. J Am Coll Surg 2003;197:163-169.
6. Maneschg C, Rogatsch H, Bartsch G, et al. Treatment of giant ancient pelvic schwannoma. Techniq Urol 2001;7:296- 298.
7. Oshima Y, Miyoshi K, Mikami Y, et al. Pelvic ring reconstruction with a vascularized pedicle iliac bone graft for a large sacral schwannoma. J Spinal Dis Techniq 2005;18:200-202.
8. Otsuji E, Hagiwara A, Toma A, et al. Resection of a pelvic schwannoma with partial removal of the sacral nerve root. Hepato-gastroenterology 2003;50:99-101.
9. Glasgow SC, Birnbaum EH, Lowney JK, et al. Retrorectal tumors: a diagnostic and therapeutic challenge. Dis Colon Rectum 2005;48:1581-1587.
10. Hughes MJ, Thomas JM, Fisher C, et al. Imaging features of retroperitoneal and pelvic schwannomas. Clin Radiol 2005;60:886-893.
11. Popuri R, Davies AM. MR imaging features of giant presacral schwannomas: a report of four cases. Eur Radiol 2002;12:2365-2369.
12. Ogose A, Hotta T, Morita T, et al. Diagnosis of peripheral nerve sheath tumors around the pelvis. Japan J Clin Oncol 2004;34:405-413.
13. Labedz W, Kubaszewski L, Adamek J. Operative treatment of Schwannoma, the primary sacral tumor--case presentation. Polish Othop Traumatol 2012;77:10-16.
14. Buchs N, Taylor S, Roche B. The posterior approach for low retrorectal tumors in adults. International journal of colorectal disease 2007;22:381-385.
15. Konstantinidis K, Theodoropoulos GE, Sambalis G, et al. Laparoscopic resection of presacral schwannomas. Surg Laparoscopy Endoscopy Percutan Techniq 2005;15:302- 304.