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Pancreatic head tumor revealing as a Schwannoma: A case report


Alireza Negahi, Behnaz Boozari, Mohammad Vaziri, Seyed Hamzeh Mousavie, Behnood Farazmand*

Abstract

Pancreatic schwannomas are rare neoplasms with an equal gender distribution. These tumors commonly vary in size and undergo degenerative changes; moreover, about two thirds of them are partially cystic. Pancreatic schwannoma tumors may occur at any age with a slightly higher incidence in females than in males. In general, malignancy is observed in few cases of pancreatic schwannoma. These tumors are reported to locate in the head of the pancreas in most of the patients. However, they have been also observed in the head, body, and tail of the pancreas in some cases. All these issues have made the clinical diagnosis of pancreatic schwannoma confusing and difficult. The initial evaluation of choice for pancreatic schwannomas is computed tomography, which usually shows a well-defined, round mass with multiple, low-attenuation, and cystic necrotic areas. Pancreaticoduodenectomy and distal pancreatectomy are the best selective treatments for these tumors. Herein, we presented a 64-year-old female with pancreatic schwannoma referring with a long-term history of abdominal pain.




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