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ATTI XIII SUN - Roma 2011

Laparoscopic management of sacral neurinoma causing hydronephrosis

Laparoscopic management of sacral neurinoma causing hydronephrosis

Urologia 2012; 79(S19): 107 - 110

Article Type: MEETING PROCEEDINGS

DOI:10.5301/RU.2012.9259

Authors

Simone Giona, Marco Oderda, Diego Garbossa, Francesca Peraldo, Francesco Soria, Alberto Gurioli, Paolo Gontero

Abstract

We report the case of a sacral neurinoma, which presented with mild hydronephrosis, due to compression of the right ureter, in a 71-yr old woman admitted to our hospital with recurrent urinary tract infections. CT and MRI detected a 4 x 4 cm mass pressing on the right ureter at the sacral level, in continuity with the second sacral foramen. Given this finding, the mass was thought to be of presumable neurogenic origin. In order to both reach a conclusive diagnosis and relieve the compression of the ureter, a laparoscopic resection of the mass was performed. Surgery was successful and the pathologic examination revealed a sacral Antoni A neurinoma. Neurinomas, also called Schwannomas, are uncommon benign nerve sheath tumors arising from Schwann cells. Their diagnosis can be extremely difficult due to their aspecific symptoms and the lack of pathognomonic characteristics on imaging exams. Therefore, histopathologic evaluation is essential in establishing the diagnosis. Surgical resection seems to be the best approach, both for diagnostic and therapeutic purposes.

Article History

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Authors

  • Giona, Simone [PubMed] [Google Scholar]
    University of Turin, Department of Urology-1, A.O.U. San Giovanni Battista, Turin - Italy
  • Oderda, Marco [PubMed] [Google Scholar]
    University of Turin, Department of Urology-1, A.O.U. San Giovanni Battista, Turin, Italy
  • Garbossa, Diego [PubMed] [Google Scholar]
    University of Turin, Department of Neurosurgery, A.O.U. San Giovanni Battista, Turin - Italy
  • Peraldo, Francesca [PubMed] [Google Scholar]
    University of Turin, Department of Urology-1, A.O.U. San Giovanni Battista, Turin, Italy
  • Soria, Francesco [PubMed] [Google Scholar]
    University of Turin, Department of Urology-1, A.O.U. San Giovanni Battista, Turin, Italy
  • Gurioli, Alberto [PubMed] [Google Scholar]
    University of Turin, Department of Urology-1, A.O.U. San Giovanni Battista, Turin, Italy
  • Gontero, Paolo [PubMed] [Google Scholar]
    University of Turin, Department of Urology-1, A.O.U. San Giovanni Battista, Turin, Italy

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