Adrenal Schwannoma Treated with Laparoscopic Adrenalectomy: A Case Report and Literature Review

Authors

  • Apiwich Anukoolphaiboon Division of Urology, Department of Surgery, Vachira Phuket Hospital, Mueang, Phuket 83000, Thailand.
  • Worapat Attawettayanon Division of Urology, Songklanagarind Hospital, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.
  • Piya Innachit Division of Urology, Department of Surgery, Vachira Phuket Hospital, Mueang, Phuket 83000, Thailand.

DOI:

https://doi.org/10.31584/psumj.2023260557

Keywords:

adrenalectomy, adrenal mass, adrenal schwannoma, cellular schwannoma

Abstract

Adrenal schwannoma (AS) is extremely rare. We report on a 36-year-old female patient who presented with right upper abdominal pain. Preoperative computed tomography (CT) showed a 5-cm right adrenal mass. The metabolic work-up was normal. She underwent laparoscopic right adrenalectomy without complications. Microscopy and immunohistochemistry demonstrated a cellular schwannoma. One year after surgery, the patient was fine and without clinical recurrence or metastasis. Usually, the pre-operative diagnosis of AS is challenging and pathologic examination with immunohistochemistry is the only way to make a definite diagnosis.

References

Huang H, Ding Q, Lin X, Li D, Zeng J, Fu W, et al. Clinical features and outcomes of adrenal schwannoma: a study of 13 cases from a single centre. Endocr Connect 2021;10:543-9.

Yorita K, Naroda T, Tamura M, Ito S, Nakatani K. Adrenal schwannoma in an elderly man: a case report and literature review. Intern Med 2022;61:65-9. doi: 10.2169/internalmedicine.7026-21

Fülber I, Peer K, Maurer E, Bartsch DK, Görlach J, Göbel JN, et al. Two giant retroperitoneal schwannomas mimicking adrenal malignancy-a case report. Innov Surg Sci 2020;5:75-9. doi: 10.1515/iss-2020-0008

Chaokamin I, Anukoolphaiboon A, Chalieopanyarwong V, Attawettayanon W, Khanungwanitkul K, Cattapan K, et al. Neurilemoma of seminal vesicle: a case report: neurilemmoma of the seminal vesicle. PSU Med J 2021:1;17-21.

Hilton DA, Hanemann CO. Schwannomas and their pathogenesis. Brain Pathol 2014;24:205-20. doi: 10.1111/bpa.12125

Adas M, Ozulker F, Adas G, Koc B, Ozulker T. A rare adrenal incidentaloma: adrenal schwannoma. Case reports in gastroenterology. Brain Pathol 2014;24:205-20. doi: 10.1111/bpa.12125

Cojab JM, Armenta JF, Jorge DL, Hernandez RS, Gutierrez OC, Chaoul MB, et al. Adrenal schwannoma in a female patient: a rare benign neoplasm: Case report and literature review. Int J Surg Case Rep 2020;74:173-6.

Shen Y, Zhong Y, Wang H, Ma L, Wang Y, Zhang K, et al. MR imaging features of benign retroperitoneal paragangliomas and schwannomas. BMC Neurol 2018;18:1. doi: 10.1186/s12883-017-0998-8

Adam SZ, Nikolaidis P, Horowitz JM, Gabriel H, Hammond NA, Patel T, et al. Chemical shift MR imaging of the adrenal gland: principles, pitfalls, and applications. Radiographics 2016;36:414-32. doi: 10.1148/rg.2016150139

Venkataramana CG, Sreeram S, Santosh RPV, Laxman PGG, Sanmam KN. Schwannoma: an uncommon dweller in the adrenal gland. Indian J Pathol Microbiol 2020:63:456-9.

Conzo G, Gambardella C, Candela G, Sanguinetti A, Polistena A, Clarizia G, et al. Single center experience with laparoscopic adrenalectomy on a large clinical series. BMC Surg 2018;18:2. doi: 10.1186/s12893-017-0333-8

Brandao LF, Autorino R, Laydner H, Haber GP, Ouzaid I, De Sio M, et al. Robotic versus laparoscopic adrenalectomy: a systematic review and meta-analysis. Eur Urol 2014;65:1154-61. doi:10.1016/j.eururo.2013.09.021

Zhou J, Zhang D, Li W, Zhou L, Xu H, Zheng S, et al. Primary adrenal schwannoma: a series of 31 cases emphasizing their clinicopathologic features and favorable prognosis. Endocrine 2019;65:662-74. doi: 10.1007/s12020-019-01992-z

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Published

2023-12-26

How to Cite

1.
Anukoolphaiboon A, Attawettayanon W, Innachit P. Adrenal Schwannoma Treated with Laparoscopic Adrenalectomy: A Case Report and Literature Review. PSU Med J [Internet]. 2023 Dec. 26 [cited 2024 May 19];3(3):151-6. Available from: https://he01.tci-thaijo.org/index.php/PSUMJ/article/view/260557

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Section

Short Reports