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Pancreatic Schwannoma Videolaparoscopic Enucleation: A Case Report

Glauco da Costa Alvarez, Everton Neubauer Faria, Juliano Nunes Chibiaque Lima, Mateus Diesel Miranda, César Vivian Lopes, Antonio Atalibio Hartmann

The subject of this study was a thirty-two–year-old female patient presenting nausea and no other symptoms at the clinical examination. The physical examination was unremarkable. The laboratory tests including tumor markers were normal. We performed routine exams where an abdominal ultrasound US identified a solid lesion in the body of the pancreas. An abdominal Magnetic Resonance Imaging was performed, which delimited the lesion and subsequent endoscopic ultrasound EUS evaluation for the histological diagnosis of the lesion. The biopsies initially indicated a Frantz tumor, with immunohistochemical exams being conducted confirming a pancreatic Schwannoma. The patient was submitted to a videolaparoscopic surgery where an enucleation of the lesion was performed, measuring approximately 4 cm in the larger axis. The patient presented good evolution, with improvement of symptoms and no recurrence in the 1-year follow up after the procedure. The anatomopatologic study confirmed the diagnosis of pancreatic benign schwannoma. The objective of this article is to show the medical examination and follow up to videolaparoscopic enucleation of pancreatic Schwannoma in a young female patient with no comorbidities.