Publicação
Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report
| Resumo: | Abstract Background: Schwannomas are benign nerve sheath tumors that are extremely rare in the biliary tract. A comprehensive review of literature enumerated ap-proximately 30 case reports of schwannoma in the biliary tract tree and porta hepatis region. Case Presentation: We report a case of a 40-year-old female who presented with abdominal pain. Imaging revealed a mass at the porta hepatis extending from the portal bifurcation till the hilum encasing the main portal vein and abutting the right portal vein. Differentials of carcinoma, lymphoma, and mesenchymal tumor were kept. Ultrasound-guided biopsy of the mass showed a benign nerve sheath tumor, immunopositive for S100. The histopathological evaluation of the excised mass confirmed the origin of mass in the common bile duct. Conclusions: Our case highlights that schwannomas, though benign, can mimic a carcinoma or lymphoma if present at a rare site such as bile ducts. An exhaustive clinical and radiological workup with diligent histopathological evaluation is mandatory in dealing with such rare cases as radical surgery and chemotherapy can be avoided in such patients. |
|---|---|
| Autores principais: | Thakur,Shilpi |
| Outros Autores: | Dash,Nihar Ranjan; Barwad,Adarsh; Das,Prasenjit; Madhusudhan,Kumble S.; Yadav,Rajni |
| Assunto: | Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| Ano: | 2024 |
| País: | Portugal |
| Tipo de documento: | relatório |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| _version_ | 1868442016446152704 |
|---|---|
| author | Thakur,Shilpi |
| author2 | Dash,Nihar Ranjan Barwad,Adarsh Das,Prasenjit Madhusudhan,Kumble S. Yadav,Rajni |
| author2_role | author author author author author |
| author_facet | Thakur,Shilpi Dash,Nihar Ranjan Barwad,Adarsh Das,Prasenjit Madhusudhan,Kumble S. Yadav,Rajni |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Thakur,Shilpi\"},{\"Person.name\":\"Dash,Nihar Ranjan\"},{\"Person.name\":\"Barwad,Adarsh\"},{\"Person.name\":\"Das,Prasenjit\"},{\"Person.name\":\"Madhusudhan,Kumble S.\"},{\"Person.name\":\"Yadav,Rajni\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Thakur,Shilpi Dash,Nihar Ranjan Barwad,Adarsh Das,Prasenjit Madhusudhan,Kumble S. Yadav,Rajni |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| datacite.titles.title.fl_str_mv | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| dc.creator.none.fl_str_mv | Thakur,Shilpi Dash,Nihar Ranjan Barwad,Adarsh Das,Prasenjit Madhusudhan,Kumble S. Yadav,Rajni |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452024000400064 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Portuguesa de Gastrenterologia |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | GE-Portuguese Journal of Gastroenterology v.31 n.4 2024 |
| dc.subject.none.fl_str_mv | Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| dc.title.fl_str_mv | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_93fc |
| description | Abstract Background: Schwannomas are benign nerve sheath tumors that are extremely rare in the biliary tract. A comprehensive review of literature enumerated ap-proximately 30 case reports of schwannoma in the biliary tract tree and porta hepatis region. Case Presentation: We report a case of a 40-year-old female who presented with abdominal pain. Imaging revealed a mass at the porta hepatis extending from the portal bifurcation till the hilum encasing the main portal vein and abutting the right portal vein. Differentials of carcinoma, lymphoma, and mesenchymal tumor were kept. Ultrasound-guided biopsy of the mass showed a benign nerve sheath tumor, immunopositive for S100. The histopathological evaluation of the excised mass confirmed the origin of mass in the common bile duct. Conclusions: Our case highlights that schwannomas, though benign, can mimic a carcinoma or lymphoma if present at a rare site such as bile ducts. An exhaustive clinical and radiological workup with diligent histopathological evaluation is mandatory in dealing with such rare cases as radical surgery and chemotherapy can be avoided in such patients. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | report |
| id | scielopt_e292413f0feb4e6f7488db9de5a2f269 |
| identifier.url.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452024000400064 |
| instacron_str | SciELO |
| institution | Fundação para a Ciência e Tecnologia |
| instname_str | Fundação para a Ciência e Tecnologia |
| language | eng |
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| network_name_str | SciELO Portugal |
| oai_identifier_str | oai:scielo:S2341-45452024000400064 |
| organization_str_mv | urn:organizationAcronym:scielo |
| person_str_mv | Thakur,Shilpi Dash,Nihar Ranjan Barwad,Adarsh Das,Prasenjit Madhusudhan,Kumble S. Yadav,Rajni |
| publishDate | 2024 |
| publisher.none.fl_str_mv | Sociedade Portuguesa de Gastrenterologia |
| reponame_str | SciELO Portugal |
| repository_id_str | urn:repositoryAcronym:scielopt |
| service_str_mv | urn:repositoryAcronym:scielopt |
| spelling | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case ReportThakur,ShilpiDash,Nihar RanjanBarwad,AdarshDas,PrasenjitMadhusudhan,Kumble S.Yadav,RajniSchwannomaBenign nerve sheath tumorCommon bile ductPorta hepatisopen accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452024000400064URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452024000400064URLHasVersion2024-08-01Abstract Background: Schwannomas are benign nerve sheath tumors that are extremely rare in the biliary tract. A comprehensive review of literature enumerated ap-proximately 30 case reports of schwannoma in the biliary tract tree and porta hepatis region. Case Presentation: We report a case of a 40-year-old female who presented with abdominal pain. Imaging revealed a mass at the porta hepatis extending from the portal bifurcation till the hilum encasing the main portal vein and abutting the right portal vein. Differentials of carcinoma, lymphoma, and mesenchymal tumor were kept. Ultrasound-guided biopsy of the mass showed a benign nerve sheath tumor, immunopositive for S100. The histopathological evaluation of the excised mass confirmed the origin of mass in the common bile duct. Conclusions: Our case highlights that schwannomas, though benign, can mimic a carcinoma or lymphoma if present at a rare site such as bile ducts. An exhaustive clinical and radiological workup with diligent histopathological evaluation is mandatory in dealing with such rare cases as radical surgery and chemotherapy can be avoided in such patients.Sociedade Portuguesa de GastrenterologiaGE-Portuguese Journal of Gastroenterology v.31 n.4 2024text/htmlengreporthttp://purl.org/coar/resource_type/c_93fcother research product |
| spellingShingle | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report Thakur,Shilpi Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| status | SINGLETON |
| subject.fl_str_mv | Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| title | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| title_full | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| title_fullStr | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| title_full_unstemmed | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| title_short | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| title_sort | Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire - A Case Report |
| topic | Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| topic_facet | Schwannoma Benign nerve sheath tumor Common bile duct Porta hepatis |
| url | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452024000400064 |
| visible | 1 |