Colonic Schwannoma: A Case Study and Literature Review of a Rare Entity and Diagnostic Dilemma

Am Surg. 2016 Dec 1;82(12):1183-1186.

Abstract

An asymptomatic 73-year-old woman was found to have a submucosal mass in the descending colon on routine colonoscopy. A CT scan revealed a 31 × 28 × 31 mm lesion in the same location. Previous biopsy proved to be nondiagnostic, and the patient underwent a laparoscopic descending colon resection. Histologic evaluation of the tumor revealed a low grade spindle cell neoplasm with strong, diffuse positivity for S-100 protein by immunohistochemistry, leading to the diagnosis of schwannoma. A review of the literature revealed intestinal schwannoma to be a rare disease entity, with only about 50 cases previously reported.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Biomarkers, Tumor / analysis
  • Colonic Neoplasms / chemistry
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / pathology
  • Colonoscopy
  • Female
  • Humans
  • Neurilemmoma / chemistry
  • Neurilemmoma / diagnostic imaging*
  • Neurilemmoma / pathology
  • Rare Diseases / diagnostic imaging*
  • Rare Diseases / metabolism
  • Rare Diseases / pathology
  • Tomography, X-Ray Computed

Substances

  • Biomarkers, Tumor