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Incidental Pelvic Schwannoma: A Case Report | 45551

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Most commonly, they are found on CT scans of the abdomen/pelvis in femal..45551"/> <meta name="citation_publisher" content="国际在线医疗理事会" /> <meta name="citation_journal_title" content="肿瘤学和癌症病例报告"> <meta name="citation_title" content="Incidental Pelvic Schwannoma: A Case Report"> <meta name="citation_author" content="Ashley R Jones" /> <meta name="citation_author" content="Harry C Kellermier" /> <meta name="citation_author" content="Matthew P Doepker" /> <meta name="citation_year" content=""> <meta name="citation_volume" content="4"> <meta name="citation_issue" content="1"> <meta name="citation_abstract" content="Introduction: Incidental findings are identified on 35% to 45% of trauma CT scans. Most commonly, they are found on CT scans of the abdomen/pelvis in female patients older than age 60. Multiple studies show that the majority of these findings are benign and do not require urgent intervention. Many patients are discharged without notification of their findings or sufficient follow-up care. Case description: A 28-year-old male presented as a trauma alert after a rollover motor vehicle collision. He was assessed according to ATLS protocol and underwent CT scans of his head, neck, chest, abdomen, and pelvis. Imaging showed a fracture of his C1 vertebrae, so the patient was placed in an Aspen collar by neurosurgery and admitted to the hospital. The CT scan also showed an incidental 11 cm &times; 9.5 cm &times; 12.6 cm solid mass containing areas of calcification and hemorrhage displacing the bladder and the right external iliac vein. A CT guided biopsy of this mass was preformed and sent for pathological evaluation. Results returned as a spindle cell lesion, positive for S-100 and negative for desmin and vimentin. Decision was made to respect the mass based on its large size and potential for obstructive or compressive symptoms. Pathology was positive for a schwannoma. Discussion and Conclusion: Our case describes a rare benign neoplasm found incidentally after a work-up for trauma. Schwannomas account for 5% of benign soft tissue neoplasms, occurring primarily as solitary, slow-growing lesions in patients 20 to 40 years of age. They are rarely symptomatic unless their size results in compression of surrounding structures. They appear as heterogenous encapsulated masses with degenerative and cystic cavitations on imaging. They will routinely stain positive for S-100 on histological examination. 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Most commonly, they are found on CT scans of the abdomen/pelvis in female patients older than age 60. Multiple studies show that the majority of these findings are benign and do not require urgent intervention. Many patients are discharged without notification of their findings or sufficient follow-up care.</p> <p><strong>Case description: </strong>A 28-year-old male presented as a trauma alert after a rollover motor vehicle collision. He was assessed according to ATLS protocol and underwent CT scans of his head, neck, chest, abdomen, and pelvis. Imaging showed a fracture of his C1 vertebrae, so the patient was placed in an Aspen collar by neurosurgery and admitted to the hospital. The CT scan also showed an incidental 11 cm &times; 9.5 cm &times; 12.6 cm solid mass containing areas of calcification and hemorrhage displacing the bladder and the right external iliac vein. A CT guided biopsy of this mass was preformed and sent for pathological evaluation. Results returned as a spindle cell lesion, positive for S-100 and negative for desmin and vimentin. Decision was made to respect the mass based on its large size and potential for obstructive or compressive symptoms. Pathology was positive for a schwannoma.</p> <p><strong>Discussion and Conclusion: </strong>Our case describes a rare benign neoplasm found incidentally after a work-up for trauma. Schwannomas account for 5% of benign soft tissue neoplasms, occurring primarily as solitary, slow-growing lesions in patients 20 to 40 years of age. They are rarely symptomatic unless their size results in compression of surrounding structures. They appear as heterogenous encapsulated masses with degenerative and cystic cavitations on imaging. They will routinely stain positive for S-100 on histological examination.</p> </p> <div class="alert alert-info text-left"><b>免责声明:</b> 该摘要是使用人工智能工具翻译的,尚未经过审查或验证。</div> <div class="nav social-icons"> <a class="nav-link w-auto">分享此文章</a> <a title="" target="_blank" href="https://www.facebook.com/sharer.php?u=https://chinese.iomcworld.org/abstract/incidental-pelvic-schwannoma-a-case-report-45551.html"><i class="fab fa-facebook-f"></i></a> <a class="nav-link" title="" target="_blank" href="https://twitter.com/share?url=https://chinese.iomcworld.org/abstract/incidental-pelvic-schwannoma-a-case-report-45551.html"><i class="fab fa-twitter"></i></a> <a class="nav-link" title="" target="_blank" href="https://www.linkedin.com/shareArticle?mini=true&url=https://chinese.iomcworld.org/abstract/incidental-pelvic-schwannoma-a-case-report-45551.html"><i class="fab fa-linkedin-in"></i></a> <a class="nav-link" title="" target="_blank" href="https://plus.google.com/share?url=https://chinese.iomcworld.org/abstract/incidental-pelvic-schwannoma-a-case-report-45551.html"><i class="fab fa-google-plus-g"></i></a> </div> </div> </div> </div> <div class="col-12 col-sm-3"> <div class="col"> <!--==========Journal Highlights ================--> <div class="card rounded-0 mb-4 sidebar"> <h5 class="mt-n1 mb-0"><span>期刊亮点</span></h5> <div class="card-body p-2 match-height" style="height:350px;overflow:auto;"> <nav class="nav flex-column icon-list icon-list-angle-right"> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/integrative-medicine-journals-articles-ppts-list-4202.html" title="中西医结合">中西医结合</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/prostate-breast-journals-articles-ppts-list-4194.html" title="前列腺乳腺">前列腺乳腺</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/gynecological-oncology-journals-articles-ppts-list-4368.html" title="妇科肿瘤科">妇科肿瘤科</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/radiation-therapy-case-reports-journals-articles-ppts-list-4204.html" title="放射治疗病例报告">放射治疗病例报告</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/oncogenes-journals-articles-ppts-list-4201.html" title="癌基因">癌基因</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/cancer-therapeutics-journals-articles-ppts-list-4197.html" title="癌症治疗">癌症治疗</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/carcinoma-case-reports-journals-articles-ppts-list-4200.html" title="癌症病例报告">癌症病例报告</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/skin-cancer-journals-articles-ppts-list-4203.html" title="皮肤癌">皮肤癌</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/liver-cancer-case-reports-journals-articles-ppts-list-4195.html" title="肝癌病例报告">肝癌病例报告</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/lung-cancer-case-reports-journals-articles-ppts-list-4199.html" title="肺癌病例报告">肺癌病例报告</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/neoplasm-journals-articles-ppts-list-4198.html" title="肿瘤">肿瘤</a> <a class="nav-link" href="https://chinese.iomcworld.org/scholarly/hematology-case-reports-journals-articles-ppts-list-4193.html" title="血液学病例报告">血液学病例报告</a> </nav> </div> </div> </div> <div class="col"> <div class="card rounded-0 mb-4 sidebar"> <h5 class="mt-n1 mb-0"><span>索引于</span></h5> <div class="card-body p-2 match-height"> <ul class="list-unstyled icon-list icon-list-angle-double-right"> <li class="my-3">OCLC-世界猫</li> <li class="my-3">Web of Science(新兴来源引文索引)</li> <li class="my-3">亚利桑那州EBSCO</li> <li class="my-3">医学教育</li> <li class="my-3">参考搜索</li> <li class="my-3">哈姆达大学</li> <li class="my-3">斯科普斯</li> <li class="my-3">普布隆斯</li> <li class="my-3">西马戈</li> <li class="my-3">谷歌学术</li> </ul> </div> </div> </div> </div> </div> </div> </section> <footer class="bg-1 py-3 text-white"> <div class="container"> <div class="row align-items-center justify-content-between"> <div class="col-12 col-sm-6"> <p class="mb-0">版权 &copy; 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