A case study of choledochal Schwannoma: imaging manifestations and it’s anatomic and pathological basis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Liping ^1,2 ,  LU Chunyan ¹

1. Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Medical Imaging, The People’s Hospital of Yuxi City, Yuxi, Yunnan 653100, P. R. China;

Corresponding?author：

LU Chunyan, Email: luchunyan@wchscu.cn

Keywords：

common bile duct; Schwannoma; imaging manifestations; pathological basis

DOI：

10.7507/1007-9424.202309035

Video：

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Abstract Full text Figures/Tables Video References Cited by

Schwannoma originating from the common bile duct is rare. We presented a patient who was diagnosed with biliary cystadenoma preoperatively and pathologically confirmed as a choledochal Schwannoma, analyzed the CT and MRI imaging manifestations, and illustrated its anatomical and pathological basis, and to improve the understanding of clinicians and radiologists for choledochal Schwannoma.

Citation： LI Liping, LU Chunyan. A case study of choledochal Schwannoma: imaging manifestations and it’s anatomic and pathological basis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2024, 31(1): 24-27. doi: 10.7507/1007-9424.202309035 Copy

1.	趙福昌, 唐怡, 梁洪偉, 等. 一例胰腺神經鞘瘤的影像特征并文獻復習. 中華內分泌外科雜志, 2023, 17(3): 378-379.
2.	Fonseca GM, Montagnini AL, Rocha Mde S, et al. Biliary tract schwannoma: a rare cause of obstructive jaundice in a youngpatient. World J Gastroenterol, 2012, 18(37): 5305-5308.
3.	Cui W, Xing L, Fu L, et al. Primary malignant peripheral nerve sheath tumor of the stomach: A rare case report and review of literature. Int J Surg Pathol, 2023, 31(2): 221-226.
4.	趙魯平, 王林省, 毛森, 等. 胃神經鞘瘤的CT表現. 醫學影像學雜志, 2023, 33(4): 600-604.
5.	王萍, 陳光祥, 舒健, 等. 多層螺旋CT多期增強鑒別診斷胃神經鞘瘤與胃間質瘤. 中國醫學影像學雜志, 2023, 31(2): 155-159.
6.	李蘭濤, 王愛英, 朱繼蘭, 等. MSCT動態增強在胃神經鞘瘤診斷中的價值. 中國CT和MRI雜志, 2023, 21(4): 120-121, 124.
7.	Shen ZH, Yuan WB, Yan Q, et al. An accidental gallbladder schwannoma misdiagnosis as malignant cancer. Hepatobiliary Pancreat Dis Int, 2023, 22(2): 217-220.
8.	Otani T, Shioiri T, Mishima H, et al. Bile duct schwannoma developed in the remnant choledochal cyst—a case associated with total agenesis of the dorsal pancreas. Dig Liver Dis, 2005, 37(9): 705-708.
9.	郭成偉, 劉于寶, 全顯躍. 肝門部膽管神經鞘瘤的影像學表現. 中國醫學影像學雜志, 2014, 22(5): 361-364.
10.	王飛, 張曉嬌, 王光憲. 梗阻性黃疸-膽總管下段神經鞘瘤1例. 實用放射學雜志, 2022, 38(8): 1395-1396.
11.	柴亞婷, 曹雨青, 吳璠, 等. 肝臟和膽囊頸旁同步原發神經鞘瘤1例. 中國臨床醫學影像雜志, 2021, 32(8): 602-604.
12.	肖日國, 吳佩紅, 許曉杰. CT及MRI在神經鞘瘤診治中應用研究. 中國CT和MRI雜志, 2016, 14(10): 133-136.
13.	Ota Y, Aso K, Watanabe K, et al. Hepatic schwannoma: imaging findings on CT, MRI and contrast-enhanced ultrasonography. World J Gastroenterol, 2012, 18(35): 4967-4972.
14.	Ji JS, Lu CY, Mao WB, et al. Gastric schwannoma: CT findings and clinicopathologic correlation. Abdom Imaging, 2015, 40(5): 1164-1169.
15.	Metussin A, Telisinghe P, Kok K, et al. Extrahepatic biliary cystadenoma: a rare cause of biliary obstruction. Oman Med J, 2015, 30(1): 66-68.
16.	陳昆侖, 葉健文, 王碹, 等. 肝外膽管囊腺瘤的診斷與治療. 中華消化外科雜志, 2019, 18(4): 400-402.

1. 趙福昌, 唐怡, 梁洪偉, 等. 一例胰腺神經鞘瘤的影像特征并文獻復習. 中華內分泌外科雜志, 2023, 17(3): 378-379.
2. Fonseca GM, Montagnini AL, Rocha Mde S, et al. Biliary tract schwannoma: a rare cause of obstructive jaundice in a youngpatient. World J Gastroenterol, 2012, 18(37): 5305-5308.
3. Cui W, Xing L, Fu L, et al. Primary malignant peripheral nerve sheath tumor of the stomach: A rare case report and review of literature. Int J Surg Pathol, 2023, 31(2): 221-226.
4. 趙魯平, 王林省, 毛森, 等. 胃神經鞘瘤的CT表現. 醫學影像學雜志, 2023, 33(4): 600-604.
5. 王萍, 陳光祥, 舒健, 等. 多層螺旋CT多期增強鑒別診斷胃神經鞘瘤與胃間質瘤. 中國醫學影像學雜志, 2023, 31(2): 155-159.
6. 李蘭濤, 王愛英, 朱繼蘭, 等. MSCT動態增強在胃神經鞘瘤診斷中的價值. 中國CT和MRI雜志, 2023, 21(4): 120-121, 124.
7. Shen ZH, Yuan WB, Yan Q, et al. An accidental gallbladder schwannoma misdiagnosis as malignant cancer. Hepatobiliary Pancreat Dis Int, 2023, 22(2): 217-220.
8. Otani T, Shioiri T, Mishima H, et al. Bile duct schwannoma developed in the remnant choledochal cyst—a case associated with total agenesis of the dorsal pancreas. Dig Liver Dis, 2005, 37(9): 705-708.
9. 郭成偉, 劉于寶, 全顯躍. 肝門部膽管神經鞘瘤的影像學表現. 中國醫學影像學雜志, 2014, 22(5): 361-364.
10. 王飛, 張曉嬌, 王光憲. 梗阻性黃疸-膽總管下段神經鞘瘤1例. 實用放射學雜志, 2022, 38(8): 1395-1396.
11. 柴亞婷, 曹雨青, 吳璠, 等. 肝臟和膽囊頸旁同步原發神經鞘瘤1例. 中國臨床醫學影像雜志, 2021, 32(8): 602-604.
12. 肖日國, 吳佩紅, 許曉杰. CT及MRI在神經鞘瘤診治中應用研究. 中國CT和MRI雜志, 2016, 14(10): 133-136.
13. Ota Y, Aso K, Watanabe K, et al. Hepatic schwannoma: imaging findings on CT, MRI and contrast-enhanced ultrasonography. World J Gastroenterol, 2012, 18(35): 4967-4972.
14. Ji JS, Lu CY, Mao WB, et al. Gastric schwannoma: CT findings and clinicopathologic correlation. Abdom Imaging, 2015, 40(5): 1164-1169.
15. Metussin A, Telisinghe P, Kok K, et al. Extrahepatic biliary cystadenoma: a rare cause of biliary obstruction. Oman Med J, 2015, 30(1): 66-68.
16. 陳昆侖, 葉健文, 王碹, 等. 肝外膽管囊腺瘤的診斷與治療. 中華消化外科雜志, 2019, 18(4): 400-402.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

A case study of choledochal Schwannoma: imaging manifestations and it’s anatomic and pathological basis

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