Chest Soft Tissue Schwannoma: a Difficult Case of Diagnosis
https://doi.org/10.20862/0042-4676-2024-105-4-208-213
Abstract
The article presents a clinical case of a patient born in 1963, examined and treated at Ostroverkhov Kursk Oncology Scientific and Clinical Center in 2024. The complexity of schwannoma preoperative diagnosis was illustrated: a complete discrepancy between complaints and clinical manifestations, rare localization for schwannoma (chest wall soft tissues, retroperitoneal space), discrepancies in the results of comprehensive preoperative diagnosis (multislice computed tomography, ultrasound, positron emission tomography with computed tomography), problems of histological examination of biopsy material obtained during tumor core biopsy under ultrasound control. The final diagnosis was established only after performing a radical operation with rib resection. The publication can help radiologists, ultrasound diagnosticians, morphologists, oncologists, surgeons to accumulate clinical experience for choosing optimal diagnostic methods and developing an algorithm for patient management.
About the Authors
M. V. PerevedentsevRussian Federation
Mikhail V. Perevedentsev, Ultrasound Diagnostician, Center for Radiation Diagnostics
ul. Eliseeva, 1, Kursk region, khutor Kislino, 305524
E. A. Podolskaya
Russian Federation
Elena A. Podolskaya, Dr. Med. Sc., Professor, Chair of Radiation Diagnostics and Therapy
ul. К. Marksa, 3, Kursk, 305000
N. S. Vorotyntseva
Russian Federation
Natalia S. Vorotyntseva, Dr. Med. Sc., Professor, Chief of Chair of Radiation Diagnostics and Therapy
ul. К. Marksa, 3, Kursk, 305000
E. N. Kretova
Russian Federation
Elena N. Kretova, Radiologist, Center for Radiation Diagnostics
ul. Eliseeva, 1, Kursk region, khutor Kislino, 305524
References
1. Baranova IB, Slavnova EN, Petrov AN. Cytological diagnosis of schwannoma: 3 case reports. Russian News of Clinical Cytology. 2023; 27(2): 25–9 (in Russ). https://doi.org/10.24412/1562-4943-2023-2-0004.
2. Bugaev VE, Nikulin MP, Melikov SA. Features of diagnosis and surgical treatment of patients with retroperitoneal schwannomas (literature review). Journal of Modern Oncology. 2017; 19(4): 28–35 (in Russ).
3. Atakhanova NE, Tursunova NI, Yahyaev VK, et al. Clinical case of surgical treatment of a malignant tumor from the shealths of peripheral nerves of retroperitoneal localization. Surgery and Oncology. 2023; 13(4): 62–7 (in Russ). https://doi.org/10.17650/2949-5857-2023-13-4-62-67.
4. Greshnova OG, Chekhonatskaya ML, Ilyasova EB, Bahmetyev AS. Ultrasound diagnosis of schwannoma (clinical case). Saratov Journal of Medical Scientific Research. 2022; 18(3): 380–3 (in Russ).
5. Druzhinin DS, Karapetyan AS, Novikov ML, Druzhinina ES. Peripheral nerve tumors in adults and children: clinical and diagnostic characteristics. Russian Journal of Neurosurgery. 2023; 25(3): 69–77 (in Russ). https://doi.org/10.17650/16833295-2023-25-3-69-77.
6. Saltykova VG, Karpov IN, Nikitina IV, Shtok AV. The value of ultrasound in periphery nerves tumors diagnosis. Ultrasound and Functional Diagnostics. 2009; 3: 48–59 (in Russ).
7. Melikov SA. Modern methods of diagnosis and treatment of retroperitoneal neurogenic tumors (literature review). Russian Medical Journal. 2012; 3(2): 47–54 (in Russ).
8. Stepanova YuA, Grishankov SA, Karelskaya NA, et al. Retroperitoneal schwannoma (clinical case). Clinical Practice. 2016; 2: 58–66 (in Russ).
9. Kornev AI, Boriskin AA, Kozhukhov DA, Shastina VR. Benign retroperitoneal schwannoma. Treatment and Prevention. 2019; 9(2): 69–72 (in Russ).
Review
For citations:
Perevedentsev M.V., Podolskaya E.A., Vorotyntseva N.S., Kretova E.N. Chest Soft Tissue Schwannoma: a Difficult Case of Diagnosis. Journal of radiology and nuclear medicine. 2024;105(4):208-213. (In Russ.) https://doi.org/10.20862/0042-4676-2024-105-4-208-213