[Pancreatic schwannoma revealed contrast by contrast-enhanced ultrasonography: a case report]

Nihon Shokakibyo Gakkai Zasshi. 2017;114(5):881-888. doi: 10.11405/nisshoshi.114.881.
[Article in Japanese]

Abstract

An asymptomatic pancreatic tumor was discovered in a 77-year-old man during a medical check-up. An abdominal computed tomography (CT) and magnetic resonance imaging (MRI) revealed a cystic mass containing a septum-like solid portion in the head of the pancreas, measuring 3.5cm in diameter. Additionally, abdominal contrast-enhanced ultrasonography (US) revealed increased flow in the solid portion and a tumor capsule in its early phase. We preoperatively diagnosed the lesion as a cystic-degenerated pancreatic neuroendocrine tumor or solid-pseudopapillary tumor and performed a pancreatoduodenectomy. Histopathological examination revealed a cystic pancreatic mass consisting of spindle-shaped cells, with S-100-positive and SMA-negative immunohistochemical stainings. This lesion was diagnosed as a pancreatic schwannoma from these findings.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Contrast Media
  • Humans
  • Male
  • Neurilemmoma / diagnosis
  • Neurilemmoma / diagnostic imaging*
  • Pancreas / diagnostic imaging
  • Pancreatic Neoplasms / diagnosis
  • Pancreatic Neoplasms / diagnostic imaging*
  • Pancreaticoduodenectomy
  • Tomography, X-Ray Computed
  • Ultrasonography*

Substances

  • Contrast Media