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Mínguez Ojeda C, Brasero Burgos J, Tenelanda Santillan A, Saiz A, Tagalos Muñoz AC, Subiela JD, Sanchez Gonzalez A, Artiles Medina A, Sanz Mayayo E, Rodriguez Patrón R, Jimenez Cidre MA, Burgos Revilla FJ. Schwannoma of the seminal vesicle: Case report and review of the literature. Urol Case Rep 2023; 50:102494. [PMID: 37455775 PMCID: PMC10344653 DOI: 10.1016/j.eucr.2023.102494] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 06/26/2023] [Accepted: 07/02/2023] [Indexed: 07/18/2023] Open
Abstract
Seminal vesicles can be affected by tumours originating in other locations. However, primary tumours of the seminal vesicle are extremely rare, with less than 100 cases reported in literature. Seminal vesicle adenocarcinoma is the most common type, but there are also other malign lesions. Diagnosis is challenging due to the lack of early symptoms and well-defined criteria. These tumours are usually asymptomatic and discovered incidentally during imaging tests or pelvic surgery. Definitive diagnosis requires anatomopathological analysis. Case report of 58-years-old man with schwannoma of the seminal vesicle. We describe the main characteristics of these tumours as well as their therapeutic approach.
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Affiliation(s)
| | | | | | - Ana Saiz
- Department of Pathological Anatomy, Hospital Universitario Ramón y Cajal, Madrid, Spain
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Bonvalot S, Roland C, Raut C, Le Péchoux C, Tzanis D, Frezza AM, Gronchi A. Histology-tailored multidisciplinary management of primary retroperitoneal sarcomas. Eur J Surg Oncol 2023; 49:1061-1067. [PMID: 35599138 DOI: 10.1016/j.ejso.2022.05.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 05/02/2022] [Accepted: 05/11/2022] [Indexed: 11/28/2022]
Abstract
Until recently, the recommendation for primary retroperitoneal sarcomas (RPS) was to perform a complete en-bloc gross excision, (neo) adjuvant treatments being options which were not validated by randomized studies, with a large discrepancy of use between centers. The heterogeneity of RPS, with their different biological behaviour, renders a homogenous therapeutic and surgical approach probably inappropriate. Recent studies, both surgical and dedicated to adjuvant treatments, allow refining these recommendations. This review summarizes recent advances and directions.
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Affiliation(s)
- S Bonvalot
- Department of Surgical Oncology, Institut Curie, Paris University, Paris, France.
| | - C Roland
- Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | - C Raut
- Division of Surgical Oncology, Department of Surgery, Brigham and Women's Hospital, Center for Sarcoma and Bone Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
| | - C Le Péchoux
- Department of Radiation Oncology, Gustave Roussy, Villejuif, France
| | - D Tzanis
- Department of Surgical Oncology, Institut Curie, Paris University, Paris, France
| | - A M Frezza
- Department of Cancer Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - A Gronchi
- Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
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Merali N, Singh G, Ghorpade A, Shirol S, Singh S, Veeramootoo R. Idiopathic retroperitoneal haematoma causing duodenal obstruction: a case report and review of literature. Ann R Coll Surg Engl 2020; 102:e209-e212. [PMID: 32538127 DOI: 10.1308/rcsann.2020.0117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Idiopathic retroperitoneal haematoma is a rare clinical entity; resulting duodenal obstruction is even more occult. It can pose a diagnostic challenge due to variable presentations. Timely management requires a high index of suspicion and a multidisciplinary approach. Surgery is indicated in patients refractory to conservative treatment and failure of endoscopic or interventional radiology options. We report an interesting case illustrating the rarity and severity of this condition, with a review of the literature.
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Affiliation(s)
- N Merali
- Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK
| | - G Singh
- Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK
| | - A Ghorpade
- Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK
| | - S Shirol
- Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK
| | - S Singh
- Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK
| | - R Veeramootoo
- Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, Camberley, UK
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Improta L, Tzanis D, Bouhadiba T, Abdelhafidh K, Bonvalot S. Overview of primary adult retroperitoneal tumours. Eur J Surg Oncol 2020; 46:1573-1579. [PMID: 32600897 DOI: 10.1016/j.ejso.2020.04.054] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Revised: 04/16/2020] [Accepted: 04/29/2020] [Indexed: 12/14/2022] Open
Abstract
In front of a primary retroperitoneal tumour, it is necessary to have in mind all possible diagnoses in order to specify the diagnostic strategy and the treatment. According to the World Health Organization (WHO) classification of tumours, mesenchymal benign and malignant tumours (including sarcomas and, currently, neurogenic tumours), parasympathetic tumours, extragonadal germ cell tumours, and lymphoid tumours have been identified. By definition, primary retroperitoneal tumours start independently from the retroperitoneal organs. Secondary lesions, carcinoma metastasis, and adenopathy are excluded from this definition, but they can also develop in the retroperitoneal space and lead to misdiagnoses. In the absence of positive tumour markers or an evocative biology, percutaneous biopsy is necessary. Pathological diagnosis is necessary to decide whether surgery must be done, its timing among the other treatments, and its extension. This paper summarizes all the diagnostic possibilities.
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Affiliation(s)
- Luca Improta
- Department of General Surgery, Università Campus Bio-Medico, 200 Via Alvaro del Portillo, Rome, Italy.
| | - Dimitri Tzanis
- Department of Surgery, Institut Curie, PSL University, 26 Rue d'Ulm, Paris, France.
| | - Toufik Bouhadiba
- Department of Surgery, Institut Curie, PSL University, 26 Rue d'Ulm, Paris, France.
| | - Khoubeyb Abdelhafidh
- Department of Anesthesia, Institut Curie, PSL University, 26 Rue d'Ulm, Paris, France.
| | - Sylvie Bonvalot
- Department of Surgery, Institut Curie, PSL University, 26 Rue d'Ulm, Paris, France.
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Cottin V, Si-Mohamed S, Ahmad K, Traclet J, Nasser M. mTOR inhibitors for the management of difficult lymphangioma in adults. Respir Med Res 2020; 77:8-10. [PMID: 31923747 DOI: 10.1016/j.resmer.2019.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Accepted: 09/27/2019] [Indexed: 10/25/2022]
Affiliation(s)
- V Cottin
- Hospices Civils de Lyon, Department of Respiratory Medicine, National Coordinating Reference Center for Rare Pulmonary Diseases, Louis Pradel hospital, Lyon, France; Claude-Bernard Lyon 1 University, University of Lyon, INRA, UMR754, Lyon, France.
| | - S Si-Mohamed
- Hospices Civils de Lyon, Department of Radiology, Louis-Pradel hospital, Lyon, France
| | - K Ahmad
- Hospices Civils de Lyon, Department of Respiratory Medicine, National Coordinating Reference Center for Rare Pulmonary Diseases, Louis Pradel hospital, Lyon, France
| | - J Traclet
- Hospices Civils de Lyon, Department of Respiratory Medicine, National Coordinating Reference Center for Rare Pulmonary Diseases, Louis Pradel hospital, Lyon, France
| | - M Nasser
- Hospices Civils de Lyon, Department of Respiratory Medicine, National Coordinating Reference Center for Rare Pulmonary Diseases, Louis Pradel hospital, Lyon, France
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Paasch C, Harder A, Gatzky EJ, Ghadamgahi E, Spuler A, Siegel R. Retroperitoneal paravertebral ganglioneuroma: a multidisciplinary approach facilitates less radical surgery. World J Surg Oncol 2016; 14:194. [PMID: 27461001 PMCID: PMC4962373 DOI: 10.1186/s12957-016-0953-y] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 07/20/2016] [Indexed: 12/14/2022] Open
Abstract
Background Ganglioneuroma (GN) of the adult is a rare benign tumour originating from neural crest-derived cells. In most cases, GN is found in the mediastinum or retroperitoneum incidentally and may present with unspecific symptoms caused by space-occupying effects. The correct diagnosis of a retroperitoneal mass is still a challenge. Nevertheless, a preoperatively confirmed diagnosis of GN may support the concept of a less radical approach and may help to prevent unnecessary morbidity or loss of function. Case presentation We report a case of a symptomatic retroperitoneal paravertebral GN in a 33-year-old woman. She has been referred with abdominal discomfort, lancinating pain in the right leg, headache and nausea. Magnetic resonance imaging revealed a solid paravertebral tumour adjacent to the psoas muscle. Computed tomography-guided core needle biopsy yielded the diagnosis of GN. The tumour was resected completely via a laparotomy. Immunohistopathological examinations confirmed a benign GN. Conclusions Diagnostic studies and therapeutic interventions of retroperitoneal GN are discussed. In our case, a core needle biopsy preceding complete resection was helpful to prevent too extensive surgical approach.
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Affiliation(s)
- Christoph Paasch
- Department of General, Visceral and Cancer Surgery, HELIOS Klinikum Berlin-Buch, Berlin, Germany
| | - Anja Harder
- Institute of Pathology, Health Care Centre of the Municipal Hospital Brandenburg, Clinic of Medical University of Brandenburg, Brandenburg, Germany.,Institute of Neuropathology, University Hospital Münster, Münster, Germany
| | | | - Ehssan Ghadamgahi
- Institute of Radiology, HELIOS Klinikum Berlin-Buch, Berlin, Germany
| | - Andreas Spuler
- Department of Neurosurgery, HELIOS Klinikum Berlin-Buch, Berlin, Germany
| | - Robert Siegel
- Department of General, Visceral and Cancer Surgery, HELIOS Klinikum Berlin-Buch, Berlin, Germany. .,Faculty of Health, Witten/Herdecke University, Witten, Germany.
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