Schwannoma of Common Bile Duct: A Clinico-Radiologic Diagnostic Quagmire – A Case Report

IF 1 Q4 GASTROENTEROLOGY & HEPATOLOGY

GE Portuguese Journal of Gastroenterology Pub Date : 2023-10-25 DOI:10.1159/000534300

Shilpi Thakur, Nihar Ranjan Dash, Adarsh Barwad, Prasenjit Das, Kumble S. Madhusudhan, Rajni Yadav

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引用次数: 0

Abstract

Background: Schwannomas are benign nerve sheath tumors that are extremely rare in the biliary tract. A comprehensive review of literature enumerated approximately 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.

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胆总管神经鞘瘤:一个临床-放射学诊断困境- 1例报告

& lt; b> & lt; i>背景:& lt; / i> & lt; / b>神经鞘瘤是胆道中极为罕见的良性神经鞘肿瘤。文献综述列举了大约30例胆道树和肝门区神经鞘瘤的报告。& lt; b> & lt; i>案例表示:& lt; / i> & lt; / b>我们报告一例40岁的女性谁提出腹痛。影像学显示肝门处有一肿块，从门静脉分叉延伸至肝门，包裹门静脉主脉并毗邻右门静脉。癌、淋巴瘤、间质瘤的差异保持不变。超声引导下的肿块活检显示为良性神经鞘肿瘤，S100免疫阳性。切除肿块的组织病理学检查证实肿块起源于胆总管。& lt; b> & lt; i>结论:& lt; / i> & lt; / b>我们的病例强调了神经鞘瘤，虽然是良性的，但如果出现在胆管等罕见部位，可以模仿癌或淋巴瘤。在处理此类罕见病例时，必须进行详尽的临床和放射检查，并进行勤奋的组织病理学评估，因为此类患者可以避免根治性手术和化疗。

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来源期刊

GE Portuguese Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

1.60

自引率

11.10%

发文量

审稿时长

21 weeks

期刊介绍： The ''GE Portuguese Journal of Gastroenterology'' (formerly Jornal Português de Gastrenterologia), founded in 1994, is the official publication of Sociedade Portuguesa de Gastrenterologia (Portuguese Society of Gastroenterology), Sociedade Portuguesa de Endoscopia Digestiva (Portuguese Society of Digestive Endoscopy) and Associação Portuguesa para o Estudo do Fígado (Portuguese Association for the Study of the Liver). The journal publishes clinical and basic research articles on Gastroenterology, Digestive Endoscopy, Hepatology and related topics. Review articles, clinical case studies, images, letters to the editor and other articles such as recommendations or papers on gastroenterology clinical practice are also considered. Only articles written in English are accepted.