Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature

Schwannoma is a benign neurogenic tumor originating from the neural sheath of Schwann cells. It is an extremely rare cause of adrenal adenoma which is very difficult to diagnose preoperatively. We report the case of a right adrenal schwannoma discovered incidentally in a 62-year-old woman during eva...

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Main Authors: Mussa H. AlMalki, Metib Alotaibi, Mohammad Maswood Ahmad, Muhammad Amin ur Rahman, Turki Alharthi
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2020/8020761
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author Mussa H. AlMalki
Metib Alotaibi
Mohammad Maswood Ahmad
Muhammad Amin ur Rahman
Turki Alharthi
author_facet Mussa H. AlMalki
Metib Alotaibi
Mohammad Maswood Ahmad
Muhammad Amin ur Rahman
Turki Alharthi
author_sort Mussa H. AlMalki
collection DOAJ
description Schwannoma is a benign neurogenic tumor originating from the neural sheath of Schwann cells. It is an extremely rare cause of adrenal adenoma which is very difficult to diagnose preoperatively. We report the case of a right adrenal schwannoma discovered incidentally in a 62-year-old woman during evaluation of right flank pain. The biochemical and hormonal evaluations were unremarkable. Radiological examination revealed a 4.8 cm lesion keeping with right adrenal adenoma. Surgical intervention was done due to the large size of the tumor, and laparoscopic right adrenalectomy was performed. The postoperative course was uneventful. Histological examination established the diagnosis of schwannoma, which was further confirmed by immunohistochemical staining. In conclusion, adrenal schwannoma is extremely rare and can be misdiagnosed as nonsecreting adrenal adenoma. Complete surgical excision is the treatment of choice which is associated with favorable outcome and also helps in clarifying its histopathological nature.
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issn 2090-6501
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series Case Reports in Endocrinology
spelling doaj-art-92430e437fcf4f9395dcc4b5b808dd4f2025-08-20T03:20:37ZengWileyCase Reports in Endocrinology2090-65012090-651X2020-01-01202010.1155/2020/80207618020761Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the LiteratureMussa H. AlMalki0Metib Alotaibi1Mohammad Maswood Ahmad2Muhammad Amin ur Rahman3Turki Alharthi4Obesity, Endocrine and Metabolism Center, King Fahad Medical City, Riyadh, Saudi ArabiaObesity, Endocrine and Metabolism Center, King Fahad Medical City, Riyadh, Saudi ArabiaObesity, Endocrine and Metabolism Center, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Pathology and Laboratory Medicine Administration, King Fahad Medical City, Riyadh, Saudi ArabiaDepartment of Endocrinology, Military Hospital, Jeddah, Saudi ArabiaSchwannoma is a benign neurogenic tumor originating from the neural sheath of Schwann cells. It is an extremely rare cause of adrenal adenoma which is very difficult to diagnose preoperatively. We report the case of a right adrenal schwannoma discovered incidentally in a 62-year-old woman during evaluation of right flank pain. The biochemical and hormonal evaluations were unremarkable. Radiological examination revealed a 4.8 cm lesion keeping with right adrenal adenoma. Surgical intervention was done due to the large size of the tumor, and laparoscopic right adrenalectomy was performed. The postoperative course was uneventful. Histological examination established the diagnosis of schwannoma, which was further confirmed by immunohistochemical staining. In conclusion, adrenal schwannoma is extremely rare and can be misdiagnosed as nonsecreting adrenal adenoma. Complete surgical excision is the treatment of choice which is associated with favorable outcome and also helps in clarifying its histopathological nature.http://dx.doi.org/10.1155/2020/8020761
spellingShingle Mussa H. AlMalki
Metib Alotaibi
Mohammad Maswood Ahmad
Muhammad Amin ur Rahman
Turki Alharthi
Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature
Case Reports in Endocrinology
title Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature
title_full Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature
title_fullStr Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature
title_full_unstemmed Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature
title_short Schwannoma Misdiagnosed as Adrenal Adenoma: A Case Report and Review of the Literature
title_sort schwannoma misdiagnosed as adrenal adenoma a case report and review of the literature
url http://dx.doi.org/10.1155/2020/8020761
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