Document Detail


Noradrenalin-secreting retroperitoneal schwannoma resected by hand-assisted laparoscopic surgery: report of a case.
MedLine Citation:
PMID:  17123142     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 66-year-old woman was admitted to our hospital for investigation of a retroperitoneal mass. She was asymptomatic but her serum noradrenalin and vanillylmandellic acid levels were increased remarkably. Computed tomographic angiography showed a mass in the left side of the superior mesenteric artery (SMA) divergence, 6 x 4 cm in size, supplied mainly by the left adrenal artery. We performed hand-assisted laparoscopic surgery (HALS) using a Cavitron ultrasonic surgical aspirator. Abdominal exploration revealed that the tumor was located in the left side of the SMA root, but was not adhered to the adjacent organs. Her vital signs remained stable during the operation. Microscopic examination revealed a palisade formation, confirming a histopathological diagnosis of degenerated schwannoma (Antoni type B). Immunohistologically, the tumor cells were stained with S-100 protein and neuron-specific enolase. Her noradrenalin level normalized immediately after the operation and she remains in good health 3 years 2 months later.
Authors:
Tomohide Hori; Kentaro Yamagiwa; Shintaro Yagi; Taku Iida; Kentaro Taniguchi; Chiduru Yamamoto; Yukitsuna Eshita; Yuji Kozuka; Haruyuki Takaki; Takuma Kato; Kanako Saito; Mie Torii; Syuji Isaji; Shinji Uemoto
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-12-25
Journal Detail:
Title:  Surgery today     Volume:  36     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2006  
Date Detail:
Created Date:  2006-11-23     Completed Date:  2007-11-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1108-13     Citation Subset:  IM    
Affiliation:
First Department of Surgery, Mie University Graduate School of Medicine, 2-17-4 Edobashi, Tsu, Mie 514-8507, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angiography
Diagnosis, Differential
Female
Follow-Up Studies
Humans
Laparoscopy / methods*
Magnetic Resonance Imaging
Neurilemmoma / blood,  diagnosis,  surgery*
Norepinephrine / secretion*
Retroperitoneal Neoplasms / blood,  diagnosis,  surgery*
Tomography, X-Ray Computed
Tumor Markers, Biological / blood
Chemical
Reg. No./Substance:
0/Tumor Markers, Biological; 51-41-2/Norepinephrine

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