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KMID : 0356720100260040302
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Journal of the Korean Society of Coloproctology
2010 Volume.26 No. 4 p.302 ~ p.306
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Laparoscopic Approach to a Case of Appendicular Schwannoma
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Suh Suk-Won
Park Joong-Min
Choi Yoo-Shin
Cha Sung-Jae
Chang In-Taik
Kim Beom-Gyu
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Abstract
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Appendicular schwannoma is a rare tumor originating from Schwann’s cells in the Auerbach plexus. The preoperative diagnosis is difficult because the clinical features are nonspecific, and it is mostly found accidentally via a radiologic image as a tumor, mimicking malignancy. We report a case of an appendicular schwannoma coexisting with an adenocarcinoma in the lung. A laparoscopic appendectomy was done with a clear resection margin, and the immunohistochemical staining showed positive S-100 protein, which confirmed the schwannoma. The patient also underwent a left upper lobectomy of the lung. The patient has been free of recurrence for the 6 months since the operation. The laparoscopic approach could be available for treatment of an appendicular schwannoma, thus avoiding an unnecessary laparotomy.
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KEYWORD
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Schwannoma, Appendix, Appendectomy, Laparoscopic surgery
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