Presacral schwannoma. Case description

  • Roman Jankowski Chair and Department of Neurosurgery and Neurotraumatology, Poznan University of Medical Sciences, Poland
  • Jeremi Kościński Chair and Department of Neurosurgery and Neurotraumatology, Poznan University of Medical Sciences, Poland
  • Bartosz Sokół Chair and Department of Neurosurgery and Neurotraumatology, Poznan University of Medical Sciences, Poland
  • Stanisław Malinger Chair and Department of General Surgery, Surgery of Gastroenterological Oncology and Plastic Surgery, Poznan University of Medical Sciences, Poland
  • Janusz Szymaś Chair and Department of Clinical Pathomorphology, Poznan University of Medical Sciences, Poland
Keywords: schwannoma, presacral space, surgery

Abstract

Schwannomas in the presacral region of vertebral column occur sporadically and are usually diagnosed incidentally during diagnostic procedures applied as a response to nonspecific complaints associated with vertebral column or abdominal cavity. This study focuses not only on the presentation of the case of the patient with giant schwannoma in the retrorectal area, but on the highlighting of the problems associated with diagnosis and treatment of tumours located in this anatomic region as well. The presented case involves a 23-year old woman. The diagnosis of the disease was made during gynecological examination accompanied by ultrasonography of pelvic organs. Neurological examination disclosed no deviations from the normal condition. MR imaging allowed to determine precise location of the tumour and its anatomic relations to pelvic visceral and vascular structures. The patient underwent a successful surgery using laparotomy. Histological examination revealed structures of schwannoma. Surgical radicality and the lack of relapse were confirmed by MR imaging taken five years after the surgery.