Synchronous Development of Schwannoma in the Rectus Abdominis and Lipoma in the Chest: A Case Report

Ju-Oh Kim; Ki-Yong An; Hwang-Se Bong; Kyu-Jung Lee

doi:10.5292/jkbjts.2014.20.2.109

Journal List > J Korean Bone Joint Tumor Soc > v.20(2) > 1052041

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Kim, An, Bong, and Lee: Synchronous Development of Schwannoma in the Rectus Abdominis and Lipoma in the Chest: A Case Report

Case Report

J Korean Bone Joint Tumor Soc 2014;20(2):109-112.

Published online: 10 January 2014

DOI: https://doi.org/10.5292/jkbjts.2014.20.2.109

Synchronous Development of Schwannoma in the Rectus Abdominis and Lipoma in the Chest: A Case Report

Ju-Oh Kim, Ki-Yong An, Hwang-Se Bong, Kyu-Jung Lee

Department of Orthopedic Surgery, Gwangju Veterans Hospital, Gwangju, Korea

Correspondence to: Ki-Yong An Department of Orthopedic Surgery, Gwangju Veterans Hospital, 99 Chum-danwolbong-ro, Gwangsan-gu, Gwangju 506-705, Korea TEL: +82-62-602-6162 FAX: +82-62-602-6989 E-mail: mdaky@hanmail.net

Received 30 October 2014 Revised 19 November 2014 Accepted 20 November 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We experienced a case of 63 years old male patient who had synchronous rectus abdominis intramuscular schwannoma and chest wall lipoma. Schwannoma is rare benign tumor which derived from nerve sheath and mainly peripheral nerve of flexor part. The authors report rare synchronous schwannoma and lipoma development.

Keywords: rectus abdominis muscle, schwannoma, lipoma

References

1. Das Gupta TK, Brasfield RD. Tumors of peripheral nerve origin: benign and malignant solitary schwannomas. CA Cancer J Clin. 1970; 20:228–33.

2. Adani R, Baccarani A, Guidi E, Tarallo L. Schwannomas of the upper extremity: diagnosis and treatment. Chir Organi Mov. 2008; 92:85–8.

3. Kehoe NJ, Reid RP, Semple JC. Solitary benign peripheral-nerve tumours. Review of 32 years' experience. J Bone Joint Surg Br. 1995; 77:497–500.

4. Schultz E, Sapan MR, McHeffey-Atkinson B, Naidich JB, Arlen M. Case report 872. "Ancient" schwannoma (degenerated neurilemoma). Skeletal Radiol. 1994; 23:593–5.

5. Louis DS. Peripheral nerve tumors in the upper extremity. Hand Clin. 1987; 3:311–8.

6. Lee SH, Jung HG, Lee HK. Neurilemoma of trunk and extremities. J Korean Bone Joint Tumor Soc. 1996; 4:88–93.

7. Bahk WJ RS, Kang YK, Lee AH. Schwannoma of the extremities. J Korean Bone Joint Tumor Soc. 2003; 9:148–54.

8. Pyun YS, Kim SR, Joh YR. Surgical treatment of the neurilemoma in extremities. J Korean Bone Joint Tumor Soc. 1998; 4:88–93.

9. Kwon BC, Baek GH, Chung MS, Lee SH, Kim HS, Oh JH. Intramuscular neurilemoma. J Bone Joint Surg Br. 2003; 85:723–5.

Figure 1.

The ultrasonographic finding shows well defined heterogenous echogenic mass.

Figure 2.

(A) Transverse CT image shows well-defined low density soft tissue mass on Rt. anterior chest wall. (B) Transverse CT image shows well-defined mass in rectus abdominis muscle.

Figure 3.

In the gross finding of the intra-muscular mass in rectus abdominis, a round, pink and well-capsulated mass is shown.

Figure 4.

The cross sectional finding of the intra-muscular mass demonstrates multi-septated pattern, scattered hemorrhagic clots and fibrous tissue.

Figure 5.

The histologic examination of hematoxyline and eosin stained specimen shows more cellular "Antoni A" pattern (white arrow) with palisading nuclei surrounding pink areas (Verocay bodies), and "Antoni B" pattern (black arrow) with a looser stroma, fewer cells, and myxoid change (×400).

TOOLS

Similar articles