Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review
Abstract Background Schwannomas are nerve sheath tumors that commonly originate from the stomach and small intestine. A primary schwannoma of the diaphragm is rare and does not show any symptoms until it grows to a certain size. Hence, it is extremely rare that it was found at a size that allowed re...
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| Format: | Article |
| Language: | English |
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BMC
2020-11-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-020-00963-w |
| _version_ | 1818404778134208512 |
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| author | Ayako Kamiya Yukinori Yamagata Hiroshi Yoshida Kenichi Ishizu Takeyuki Wada Tsutomu Hayashi Sho Otsuki Takaki Yoshikawa Hitoshi Katai |
| author_facet | Ayako Kamiya Yukinori Yamagata Hiroshi Yoshida Kenichi Ishizu Takeyuki Wada Tsutomu Hayashi Sho Otsuki Takaki Yoshikawa Hitoshi Katai |
| author_sort | Ayako Kamiya |
| collection | DOAJ |
| description | Abstract Background Schwannomas are nerve sheath tumors that commonly originate from the stomach and small intestine. A primary schwannoma of the diaphragm is rare and does not show any symptoms until it grows to a certain size. Hence, it is extremely rare that it was found at a size that allowed resection under videoscopic surgery. Case presentation A 77-year-old woman was referred to our department for surgical treatment of a tumor located near the gastric fornix. She underwent a routine esophagogastroduodenoscopy 2 years and 7 months prior to the referral. It was suspected that she had a submucosal tumor measuring 10 mm, located in the fornix, and was then referred to her previous physician. During her follow-up, endoscopic ultrasonography (EUS) revealed that the cystic structure had continued to grow toward the gastric wall, and she was then referred to the endoscopy division of our hospital. She continued to be followed-up, and it was noted that the tumor was gradually increasing in size. Therefore, she requested surgical resection, and was finally referred to our division. Since the tumor was rather small, we planned a laparoscopic surgery. An initial examination during the operation revealed that the tumor was located on the left diaphragm. Since the tumor was relatively small and visibility was good, we decided to continue with the laparoscopic surgery. Partial diaphragmectomy with complete inclusion of the tumor was performed, and the defect of the diaphragm was directly closed by a running suture. Pathological examination revealed a benign schwannoma that had originated from the diaphragm. To support our findings, we also reviewed the scientific literature on diaphragmatic schwannoma cases reported up to April 2020. Conclusions In this extremely rare case, we successfully resected the diaphragmatic schwannoma using laparoscopic surgery. |
| first_indexed | 2024-12-14T08:45:33Z |
| format | Article |
| id | doaj.art-c703cf053b474ce8b63a6aaf140ea47f |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-14T08:45:33Z |
| publishDate | 2020-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-c703cf053b474ce8b63a6aaf140ea47f2022-12-21T23:09:12ZengBMCBMC Surgery1471-24822020-11-012011810.1186/s12893-020-00963-wLaparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature reviewAyako Kamiya0Yukinori Yamagata1Hiroshi Yoshida2Kenichi Ishizu3Takeyuki Wada4Tsutomu Hayashi5Sho Otsuki6Takaki Yoshikawa7Hitoshi Katai8Department of Gastric Surgery, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalDivision of Pathology and Clinical Laboratories, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalDepartment of Gastric Surgery, National Cancer Center HospitalAbstract Background Schwannomas are nerve sheath tumors that commonly originate from the stomach and small intestine. A primary schwannoma of the diaphragm is rare and does not show any symptoms until it grows to a certain size. Hence, it is extremely rare that it was found at a size that allowed resection under videoscopic surgery. Case presentation A 77-year-old woman was referred to our department for surgical treatment of a tumor located near the gastric fornix. She underwent a routine esophagogastroduodenoscopy 2 years and 7 months prior to the referral. It was suspected that she had a submucosal tumor measuring 10 mm, located in the fornix, and was then referred to her previous physician. During her follow-up, endoscopic ultrasonography (EUS) revealed that the cystic structure had continued to grow toward the gastric wall, and she was then referred to the endoscopy division of our hospital. She continued to be followed-up, and it was noted that the tumor was gradually increasing in size. Therefore, she requested surgical resection, and was finally referred to our division. Since the tumor was rather small, we planned a laparoscopic surgery. An initial examination during the operation revealed that the tumor was located on the left diaphragm. Since the tumor was relatively small and visibility was good, we decided to continue with the laparoscopic surgery. Partial diaphragmectomy with complete inclusion of the tumor was performed, and the defect of the diaphragm was directly closed by a running suture. Pathological examination revealed a benign schwannoma that had originated from the diaphragm. To support our findings, we also reviewed the scientific literature on diaphragmatic schwannoma cases reported up to April 2020. Conclusions In this extremely rare case, we successfully resected the diaphragmatic schwannoma using laparoscopic surgery.http://link.springer.com/article/10.1186/s12893-020-00963-wSchwannomaDiaphragmLaparoscopic resection |
| spellingShingle | Ayako Kamiya Yukinori Yamagata Hiroshi Yoshida Kenichi Ishizu Takeyuki Wada Tsutomu Hayashi Sho Otsuki Takaki Yoshikawa Hitoshi Katai Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review BMC Surgery Schwannoma Diaphragm Laparoscopic resection |
| title | Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review |
| title_full | Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review |
| title_fullStr | Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review |
| title_full_unstemmed | Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review |
| title_short | Laparoscopic resection of a primary diaphragmatic schwannoma: a case report and literature review |
| title_sort | laparoscopic resection of a primary diaphragmatic schwannoma a case report and literature review |
| topic | Schwannoma Diaphragm Laparoscopic resection |
| url | http://link.springer.com/article/10.1186/s12893-020-00963-w |
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