Pediatric pancreatic perineurioma: A case report

Introduction: Perineuriomas are rare, benign, peripheral nerve sheath tumors that are distinguished from other lesions such as neurofibroma with specific immunohistochemical stains. Case presentation: The patient was an 18-year-old female with a history of spina bifida and neuroblastoma. She was asy...

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Main Authors: Eakes A, Hill B, Beierle EA
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Journal of Pediatric Surgery Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213576625000041
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author Eakes A
Hill B
Beierle EA
author_facet Eakes A
Hill B
Beierle EA
author_sort Eakes A
collection DOAJ
description Introduction: Perineuriomas are rare, benign, peripheral nerve sheath tumors that are distinguished from other lesions such as neurofibroma with specific immunohistochemical stains. Case presentation: The patient was an 18-year-old female with a history of spina bifida and neuroblastoma. She was asymptomatic but at a follow up visit for urinary issues related to her spina bifida, an ultrasound of the kidneys revealed a retroperitoneal mass near the left kidney. Cross sectional imaging was completed and identified a left paraspinous mass measuring 13.3 x 10.1 × 11.2 cm, arising from the pancreas. Laboratory evaluations including liver function tests, complete blood count, renal panel, urine metanephrines, alpha fetoprotein and beta-hCg were normal. Complete resection of the mass required a distal pancreatectomy and splenectomy performed via laparotomy. Histologic evaluation of the mass was consistent with perineurioma. Postoperative recovery was unremarkable and the patient remains free of disease at one year followup with ultrasound imaging. Conclusion: Perineurioma, a rare peripheral nerve sheath neoplasm, should be considered in the differential diagnosis for retroperitoneal masses in the pediatric population.
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spelling doaj-art-73e537ced49c4f76a38f7eb7ed95a0882025-08-20T03:05:07ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662025-03-0111410295910.1016/j.epsc.2025.102959Pediatric pancreatic perineurioma: A case reportEakes A0Hill B1Beierle EA2Division of Pediatric Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, 35233, USADepartment of Pathology, The Children's Hospital of Alabama, Birmingham, AL, 35233, USADivision of Pediatric Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, 35233, USA; Corresponding author. 1600 7th Ave South, Lowder, Room 300, Birmingham, AL, 35233, USA.Introduction: Perineuriomas are rare, benign, peripheral nerve sheath tumors that are distinguished from other lesions such as neurofibroma with specific immunohistochemical stains. Case presentation: The patient was an 18-year-old female with a history of spina bifida and neuroblastoma. She was asymptomatic but at a follow up visit for urinary issues related to her spina bifida, an ultrasound of the kidneys revealed a retroperitoneal mass near the left kidney. Cross sectional imaging was completed and identified a left paraspinous mass measuring 13.3 x 10.1 × 11.2 cm, arising from the pancreas. Laboratory evaluations including liver function tests, complete blood count, renal panel, urine metanephrines, alpha fetoprotein and beta-hCg were normal. Complete resection of the mass required a distal pancreatectomy and splenectomy performed via laparotomy. Histologic evaluation of the mass was consistent with perineurioma. Postoperative recovery was unremarkable and the patient remains free of disease at one year followup with ultrasound imaging. Conclusion: Perineurioma, a rare peripheral nerve sheath neoplasm, should be considered in the differential diagnosis for retroperitoneal masses in the pediatric population.http://www.sciencedirect.com/science/article/pii/S2213576625000041Pancreatic perineuriomaPediatricNeuroblastomaCase report
spellingShingle Eakes A
Hill B
Beierle EA
Pediatric pancreatic perineurioma: A case report
Journal of Pediatric Surgery Case Reports
Pancreatic perineurioma
Pediatric
Neuroblastoma
Case report
title Pediatric pancreatic perineurioma: A case report
title_full Pediatric pancreatic perineurioma: A case report
title_fullStr Pediatric pancreatic perineurioma: A case report
title_full_unstemmed Pediatric pancreatic perineurioma: A case report
title_short Pediatric pancreatic perineurioma: A case report
title_sort pediatric pancreatic perineurioma a case report
topic Pancreatic perineurioma
Pediatric
Neuroblastoma
Case report
url http://www.sciencedirect.com/science/article/pii/S2213576625000041
work_keys_str_mv AT eakesa pediatricpancreaticperineuriomaacasereport
AT hillb pediatricpancreaticperineuriomaacasereport
AT beierleea pediatricpancreaticperineuriomaacasereport