Frontiers in Gastroenterology (Oct 2024)

Case report: Initial presentation of pancreatic schwannoma as cystic pancreatic mass treated with classic Whipple’s procedure

  • Zekewos Demissie Jemaneh,
  • Nahom Zemedkun,
  • Serkalem Nurlegn,
  • Amanuel Mamuye Woldeamanuel,
  • Henok Seife,
  • Yohannes Birhanu,
  • Bethelhem Berhanu Belachew

DOI
https://doi.org/10.3389/fgstr.2024.1425831
Journal volume & issue
Vol. 3

Abstract

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Pancreatic schwannomas are exceedingly rare tumors arising from Schwann cells of the peripheral nerve sheath within the pancreas. Often asymptomatic or presenting with nonspecific symptoms, these tumors pose a diagnostic challenge due to their mimicry of other pancreatic neoplasms on imaging studies. Histologically, pancreatic schwannomas demonstrate spindle cell proliferation with a distinct Immunohistochemical profile, including positive staining for S-100 protein. Surgical resection remains the cornerstone of treatment, with excellent long-term prognosis following complete excision. Here, we present a case report of a pancreatic schwannoma in a woman presenting with a cystic pancreatic mass, underscoring the importance of considering this rare entity in the differential diagnosis of pancreatic lesions.

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