Sistema Gastrointestinal e Digestivo

Abstrato

“A Cystic Mass in the Head of the Pancreas” Case Report of Schwannoma

Saleg Patricia, Alcaraz Alvaro, Romero Eugenia, Roussy Guillermo and Maraschio Martin

We report a case of a female (61 years) who presented with unspecific abdominal symptoms which motivated us a scan. This showed a cyst in the head of the pancreas. An abdominal CT scan confirmed the presence of a cystic tumor in the uncinated process of the pancreas measuring 27 mm in diameter, and nonspecific lymphadenopathy over the hepatic hilum. A MRI showed findings consistent with a Mucinous Cystic Neoplasia (MCN) at the pancreatic head. A pancreaticoduodenectomy was performed with excellent postoperative course, being the patient discharged from the hospital on POD 10. Pathological analysis showed a duodenal schwannoma of 31 × 24 mm (S-100 protein positive, CD 117 negative). No further treatment was indicated.