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Laparoscopic phrenectomy for a diaphragmatic neurilemmoma.

Liu K, Zhang M, Liang X, Cai X - J Res Med Sci (2013)

Bottom Line: Even when diagnosed, patients are commonly advised only to attend regular follow-up appointments as conventional tumorectomy is enormously invasive and confers relatively few benefits.The entire operation lasted 65 min, and patient was discharged uneventfully on the 3(rd) post-operative day.The follow-up for 29 months has shown with no recurrence or symptoms.

View Article: PubMed Central - PubMed

Affiliation: Department of Hepatobiliary Surgery, Ocean University of China, Qingdao 266071, China.

ABSTRACT
Diaphragmatic neurilemmoma (schwannoma) is an extremely rare tumor that is often discovered incidentally. Even when diagnosed, patients are commonly advised only to attend regular follow-up appointments as conventional tumorectomy is enormously invasive and confers relatively few benefits. Here, we report a unique case of a diaphragmatic neurilemmoma with concomitant symptomatic cholecystolithiasis, who was treated successfully by pure laparoscopy. The entire operation lasted 65 min, and patient was discharged uneventfully on the 3(rd) post-operative day. The follow-up for 29 months has shown with no recurrence or symptoms.

No MeSH data available.


Related in: MedlinePlus

(a) Computed tomography (CT) plain scan, (b) CT arterial phase, and (c) CT venous phase revealed an approximately 3 cm, delayed-enhanced, encapsulated tumor in the right subphrenic area (arrow), (d) Chest X-ray showed a local diaphragmatic eventration (arrow), (e) T1-weighted magnetic resonance imaging, the mass exhibited a high signal intensity (arrow), (f) the T2-weighted intensity was not well-distributed with multiple degenerative areas and unevenly intensified on the enhanced scan (arrow)
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Figure 1: (a) Computed tomography (CT) plain scan, (b) CT arterial phase, and (c) CT venous phase revealed an approximately 3 cm, delayed-enhanced, encapsulated tumor in the right subphrenic area (arrow), (d) Chest X-ray showed a local diaphragmatic eventration (arrow), (e) T1-weighted magnetic resonance imaging, the mass exhibited a high signal intensity (arrow), (f) the T2-weighted intensity was not well-distributed with multiple degenerative areas and unevenly intensified on the enhanced scan (arrow)

Mentions: A 46-year-old man was referred to Sir Run Run Shaw Hospital (Hangzhou, China) in April 2009 with a perihepatic mass found during a medical checkup requiring further investigation. A plain chest X-ray revealed a local right diaphragmatic eventration [Figure 1d]; abdominal ultrasonography demonstrated a 30 mm hypoechoic mass between the liver capsule and the diaphragm; a computed tomography [CT, Figure 1a–c] scan revealed a 30-32 mm tumor under the diaphragm; and enhanced magnetic resonance imaging [MRI, Figure 1e and f] suggested a benign tumor, which was likely a diaphragmatic neurilemmoma at the same location. Simultaneously, a secondary diagnosis of asymptomatic cholecystolithiasis was confirmed. Given his absence of any discomfort and his inability to suspend his work, patient refused surgery and agreed to attend regular follow-up appointments instead.


Laparoscopic phrenectomy for a diaphragmatic neurilemmoma.

Liu K, Zhang M, Liang X, Cai X - J Res Med Sci (2013)

(a) Computed tomography (CT) plain scan, (b) CT arterial phase, and (c) CT venous phase revealed an approximately 3 cm, delayed-enhanced, encapsulated tumor in the right subphrenic area (arrow), (d) Chest X-ray showed a local diaphragmatic eventration (arrow), (e) T1-weighted magnetic resonance imaging, the mass exhibited a high signal intensity (arrow), (f) the T2-weighted intensity was not well-distributed with multiple degenerative areas and unevenly intensified on the enhanced scan (arrow)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3818626&req=5

Figure 1: (a) Computed tomography (CT) plain scan, (b) CT arterial phase, and (c) CT venous phase revealed an approximately 3 cm, delayed-enhanced, encapsulated tumor in the right subphrenic area (arrow), (d) Chest X-ray showed a local diaphragmatic eventration (arrow), (e) T1-weighted magnetic resonance imaging, the mass exhibited a high signal intensity (arrow), (f) the T2-weighted intensity was not well-distributed with multiple degenerative areas and unevenly intensified on the enhanced scan (arrow)
Mentions: A 46-year-old man was referred to Sir Run Run Shaw Hospital (Hangzhou, China) in April 2009 with a perihepatic mass found during a medical checkup requiring further investigation. A plain chest X-ray revealed a local right diaphragmatic eventration [Figure 1d]; abdominal ultrasonography demonstrated a 30 mm hypoechoic mass between the liver capsule and the diaphragm; a computed tomography [CT, Figure 1a–c] scan revealed a 30-32 mm tumor under the diaphragm; and enhanced magnetic resonance imaging [MRI, Figure 1e and f] suggested a benign tumor, which was likely a diaphragmatic neurilemmoma at the same location. Simultaneously, a secondary diagnosis of asymptomatic cholecystolithiasis was confirmed. Given his absence of any discomfort and his inability to suspend his work, patient refused surgery and agreed to attend regular follow-up appointments instead.

Bottom Line: Even when diagnosed, patients are commonly advised only to attend regular follow-up appointments as conventional tumorectomy is enormously invasive and confers relatively few benefits.The entire operation lasted 65 min, and patient was discharged uneventfully on the 3(rd) post-operative day.The follow-up for 29 months has shown with no recurrence or symptoms.

View Article: PubMed Central - PubMed

Affiliation: Department of Hepatobiliary Surgery, Ocean University of China, Qingdao 266071, China.

ABSTRACT
Diaphragmatic neurilemmoma (schwannoma) is an extremely rare tumor that is often discovered incidentally. Even when diagnosed, patients are commonly advised only to attend regular follow-up appointments as conventional tumorectomy is enormously invasive and confers relatively few benefits. Here, we report a unique case of a diaphragmatic neurilemmoma with concomitant symptomatic cholecystolithiasis, who was treated successfully by pure laparoscopy. The entire operation lasted 65 min, and patient was discharged uneventfully on the 3(rd) post-operative day. The follow-up for 29 months has shown with no recurrence or symptoms.

No MeSH data available.


Related in: MedlinePlus