Year 2023 / Volume 115 / Number 10
Letter
Bile duct schwannoma, an uncommon cause of a bile duct tumor, diagnosis and therapeutic management

587-588

DOI: 10.17235/reed.2023.9443/2022

Alberto García Picazo, Viviana Vega Novillo, Rubén Gallardo Gallego, Carmelo Loinaz Segurola, Iago Justo Alonso,

Abstract
Biliary Schwannoma is an uncommon tumor in the digestive system and extremely rare in the bile duct. We report 48 year-old male with an incidentally found in the CT, a tumor in the hepatic hilum (3.2 cm), abutting the first portion of the duodenum, without common bile duct obstruction or lymphadenopathy. The patient was asymptomatic and had normal tumor markers. The endoscopic ultrasound (EUS) demonstrated contact between the tumor, common bile duct and right hepatic artery and the biopsy suggested of mesenchymal tumor. Tumor board recommended excision of the tumor, due to the risk of malignancy and biliary obstruction. The tumor was resected through laparoscopic approach, with a Roux-en-Y hepatico-jejunostomy. The histological report showed a biliary Schwannoma (positivity for S100 and focal GFAP), which infiltrated the external wall of the bile duct, without affecting the cystic duct, surgical margins were free of neoplasia.
Share Button
New comment
Comments
No comments for this article
References
1. Takami K, Yamamoto K, Sakurai H, Kondo N, Shibata H, Katayose Y. Biliary Schwannoma That Required differentiation from Bile Duct Cancer. Case Rep Gastroenterol. 2021;15:578–586.
2. Ishimaru, N, Fujikawa, H, Kobayashi Y. Successful preoperative diagnosis and minimally invasive surgery of bile duct schwannoma. Clin J Gastroenterol. 2021;14:336–340.
3. Campos CM, Sanz IG, Nova JL, Anca AV, Perez ME. Schwannoma of the biliary tract resembling cholangiocarcinoma: a case report and review. Ann R Coll Surg Engl. 2016;98:143–146.
4. Chen WM, Wei KL, Chen YS, Chang PJ, Tung SY, Chang TS, et al. Transpapillary biliary biopsy for malignant biliary strictures: comparison between cholangiocarcinoma and pancreatic cancer. World J Surg Oncol. 2016;14:140.
5. Fenoglio L, Severini S, Cena P, Migliore E, Bracco C, Pomero F, et al. Common bile duct schwannoma: a case report and review of literature. World J Gastroenterol 2007;13:1275-1278.
Related articles

Letter

Gastric schwannoma diagnosing gastric stromal tumor

DOI: 10.17235/reed.2023.9919/2023

Letter

Recurrence of gastric schwannoma

DOI: 10.17235/reed.2023.9480/2023

Letter

An uncommon colonic polyp

DOI: 10.17235/reed.2022.9160/2022

Letter

Schwannoma of the ileocecum accompanied by acute appendicitis

DOI: 10.17235/reed.2022.9053/2022

Letter

GIST is not all that it seems

DOI: 10.17235/reed.2022.8974/2022

Letter

Endoscopic full-thickness resection of a gastric schwannoma

DOI: 10.17235/reed.2021.8385/2021

Digestive Diseases Image

Malignancy of intraductal papillary neoplasm of the bile duct

DOI: 10.17235/reed.2021.8193/2021

Letter

Duodenal schwannoma, an infrequent entity

DOI: 10.17235/reed.2020.7371/2020

Letter

Chronic abdominal pain due to mesenteric schwannoma

DOI: 10.17235/reed.2020.6876/2020

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Letter

Retroperitoneal schwannoma

DOI: 10.17235/reed.2018.5569/2018

Letter to the Editor

Sternal cutaneous metastasis of hilar cholangiocarcinoma

DOI: 10.17235/reed.2017.4979/2017

Case Report

Mesenteric schwannoma: an unusual cause of abdominal mass

DOI: 10.17235/reed.2016.4202/2016

Letter to the Editor

Lupus as a paraneoplastic manifestation of cholangiocarcinoma

DOI: 10.17235/reed.2016.4064/2015

Citation tools
García Picazo A, Vega Novillo V, Gallardo Gallego R, Loinaz Segurola C, Justo Alonso I. Bile duct schwannoma, an uncommon cause of a bile duct tumor, diagnosis and therapeutic management. 9443/2022


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 992 visits.
This article has been downloaded 57 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 24/12/2022

Accepted: 01/01/2023

Online First: 16/01/2023

Published: 09/10/2023

Article Online First time: 23 days

Article editing time: 289 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology