[Presacral schwannoma with degenerated areas ("ancient schwannoma")]

Urologe A. 2010 Oct;49(10):1277-82. doi: 10.1007/s00120-010-2352-2.
[Article in German]

Abstract

A presacral, degenerative schwannoma ("ancient schwannoma") is a rare entity. The clinical signs are nonspecific, and a reliable preoperative diagnosis is difficult. Tumor heterogeneity with calcifications may be seen in degenerated schwannomas on MRI or CT but not necessarily. First-line treatment is complete surgical excision. We present the case of a 44-year-old male who required surgery for a presacral mass. Histopathological examination revealed the diagnosis of a schwannoma with degenerated areas.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Back Pain / etiology
  • Biomarkers, Tumor / analysis
  • Calcinosis / diagnosis
  • Calcinosis / pathology
  • Calcinosis / surgery
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neurilemmoma / diagnosis
  • Neurilemmoma / pathology
  • Neurilemmoma / surgery*
  • Retroperitoneal Space / surgery
  • S100 Proteins / analysis
  • Sacrococcygeal Region* / surgery
  • Soft Tissue Neoplasms / diagnosis
  • Soft Tissue Neoplasms / pathology
  • Soft Tissue Neoplasms / surgery*
  • Ultrasonography

Substances

  • Biomarkers, Tumor
  • S100 Proteins