Intravascular schwannoma as an extremely unusual cause of vein obstruction: a case report
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The blood vessel lumen is an extremely rare location for a benign peripheral nerve sheath tumor like schwannoma. Less than 10 cases have been previously reported. In this report, we present a case of a 68-year-old woman who had a soft tissue nodule at the posterior calf of her left leg during a physical examination. Pathological examination was performed after complete surgical excision. The patient underwent follow-up for 12 months after surgery without evidence of recurrence or any other complication. This is the first case of intravascular schwannoma reported as a cause of vein obstruction. Microscopically, the tumor was composed of Schwann spindle cells that were immunoreactive for S100 protein and SOX10. This tumor was surrounded by a well-defined vascular smooth muscle wall. Prospective series are required to improve the knowledge on the underlying mechanisms of intravascular schwannoma development.
Abstract
The blood vessel lumen is an extremely rare location for a benign peripheral nerve sheath tumor like schwannoma. Less than 10 cases have been previously reported. In this report, we present a case of a 68-year-old woman who had a soft tissue nodule at the posterior calf of her left leg during a physical examination. Pathological examination was performed after complete surgical excision. The patient underwent follow-up for 12 months after surgery without evidence of recurrence or any other complication. This is the first case of intravascular schwannoma reported as a cause of vein obstruction. Microscopically, the tumor was composed of Schwann spindle cells that were immunoreactive for S100 protein and SOX10. This tumor was surrounded by a well-defined vascular smooth muscle wall. Prospective series are required to improve the knowledge on the underlying mechanisms of intravascular schwannoma development.
참고문헌 (19)
- Perry A, "WHO classification of tumours: soft tissue and bone tumours", pp.226~231 (2020), IARC Press
- Evans DG, "Neurofibromatosis type 2(NF2) : a clinical and molecular review", Orphanet J Rare Dis, 4, pp.16~ (2009)
- Casadei GP, "Intracranial parenchymal schwannoma : a clinicopathological and neuroimaging study of nine cases", J Neurosurg, 79, pp.217~222 (1993)
- Voltaggio L, "Gastric schwannoma : a clinicopathologic study of 51 cases and critical review of the literature", Hum Pathol, 43, pp.650~659 (2012)
- Belakhoua SM, "Diagnostic pathology of tumors of peripheral nerve", Neurosurgery, 88, pp.443~456 (2021)
- Guedes-Correa JF, "Immunohistochemical markers for schwannomas, neurofibromas and malignant peripheral nerve sheath tumors : what can the recent literature tell us?", Arq Bras Neurocir, 37, pp.105~112 (2018)
- Magro G, "Practical approach to histological diagnosis of peripheral nerve sheath tumors: an update", Diagnostics (Basel), 12, pp.1463~ (2022)
- "Vein obstruction" (2023)[URL]
- Gaudi S, "Intravascular schwannoma", Am J Dermatopathol, 33, pp.850~854 (2011)
- Park J, "Intraarterial schwannoma in horizontal segment of middle cerebral artery causing subarachnoid hemorrhage", J Neurosurg, 118, pp.1069~1071 (2013)
- Ward RE, "A rare case of intravascular schwannoma", J Cutan Pathol, 45, pp.731~733 (2018)
- Dai A, "Intravascular schwannoma : a review of a rare diagnosis", J Cutan Pathol, 48, pp.314~317 (2021)
- Stubbs MJ, "Deep vein thrombosis", BMJ, 360, pp.k351~ (2018)
- Papiez J, "Vascular alterations in schwannoma", Int J Clin Exp Pathol, 7, pp.4032~4038 (2014)
- Fernandez-Flores A, "Intramural schwannoma involving a vein", J Cutan Pathol, 46, pp.211~215 (2019)
- "Histology, blood vascular system" (2023)[URL]
- Cabrera-Fischer EI, "The adventitia layer modulates the arterial wall elastic response to intra-aortic counterpulsation : in vivo studies", Artif Organs, 37, pp.1041~1048 (2013)
- Halliday J, "An update on the diagnosis and treatment of vestibular schwannoma", Expert Rev Neurother, 18, pp.29~39 (2018)
- "Neurilemmoma (schwannoma) treatment and management" (2022)[URL]
