Wait-and-See Policy for a Small Pancreatic Schwannoma Diagnosed With Endoscopic Ultrasound With Fine-Needle Aspiration.


Journal

ACG case reports journal
ISSN: 2326-3253
Titre abrégé: ACG Case Rep J
Pays: United States
ID NLM: 101638398

Informations de publication

Date de publication:
Jul 2019
Historique:
received: 05 01 2019
accepted: 03 04 2019
entrez: 18 10 2019
pubmed: 18 10 2019
medline: 18 10 2019
Statut: epublish

Résumé

Pancreatic schwannomas are very rare tumors, usually diagnosed incidentally after surgery. In literature, only 17 patients underwent endoscopic ultrasound (EUS) with fine-needle aspiration and diagnosis was reached only in 9 subjects. We report the case of a woman in whom a computed tomography revealed a mass in the uncinate process of the pancreas. EUS-fine-needle aspiration demonstrated a 1.3 × 1.1 cm hypoechoic lesion, cytology revealed sheets of spindle cells, and immunocytochemistry led to the diagnosis of schwannoma. Relying on EUS features and on the low proliferation index, a follow-up program was set. Four years later, the patient is asymptomatic and the mass is unchanged.

Identifiants

pubmed: 31620536
doi: 10.14309/crj.0000000000000139
pii: ACGCR-19-0454
pmc: PMC6722366
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e00139

Informations de copyright

© 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

Références

Diagn Cytopathol. 2018 Oct;46(10):883-885
pubmed: 30146793
Clin Imaging. 2018 Jul - Aug;50:314-323
pubmed: 29751204
Clin Gastroenterol Hepatol. 2015 Mar;13(3):e25
pubmed: 25220936
Case Rep Gastroenterol. 2018 Feb 21;12(1):85-91
pubmed: 29606941
BMC Cancer. 2017 Dec 14;17(1):853
pubmed: 29241452

Auteurs

Mauro Bruno (M)

Gastroenterology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Francesca Maletta (F)

Pathology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Silvia Gaia (S)

Gastroenterology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Ludovica Venezia (L)

Gastroenterology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Pablo Cortegoso Valdivia (P)

Gastroenterology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Giorgio Maria Saracco (GM)

Gastroenterology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Claudio Giovanni De Angelis (CG)

Gastroenterology Unit, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

Classifications MeSH