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Inicio Actas Urológicas Españolas Schwannoma retroperitoneal benigno. Diagnostico incidental en paciente con hemat...
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Vol. 29. Issue 5.
Pages 511-515 (January 2005)
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Vol. 29. Issue 5.
Pages 511-515 (January 2005)
Schwannoma retroperitoneal benigno. Diagnostico incidental en paciente con hematuria del percusionista
Benign retroperitoneal schwannoma, i diagnose incidental in patient with hematuria of the percusionist
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I. Gómez Garcíaa,1, R. Rodríguez Patróna, S. Conde Somesoa, E. Sanz Mayayoa, C. Quicios Doradoa, A. Palmeiro*
a Servicio de Urología Servicio de Anatomía Patológica. Hospital Ramón y Cajal. Madrid
* Servicio de Anatomía Patológica. Hospital Ramón y Cajal. Madrid
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Resumen

La incidencia de neoplasias retroperitoneales primitivos varía del 0,3 al 3%. Los sarcomas suponen el grupo mas frecuente de neoplasias retroperitoneales, siendo el Schwannoma un tumor inusual con una incidencia del 1% al 5% del los tumores retroperitoneales primarios. El schwannoma también denominado neurinoma o neurolenoma, es un tumor derivada de las células de Schwann de los nervios periféricos. Se caracteriza por su inespecificidad clínica y radiológica, siendo el diagnostico patológico, con intensa positividad inmunohistoquímico a la proteína S-100. El tratamiento de elección es la exéresis quirúrgica, con márgenes amplios; no estando descrito casos de malignización ni de metástasis a distancia, pero si la existencia de recurrencia a nivel local probablemente secundaria a resección incompleta.

Palabras clave:
Schwannoma retroperitoneal
Laparoscopia
Síndrome de Von Ricklehausen
Abstract

The incidence of retroperitoneal primitive tumour varies from the 0,3 to 3%. The sarcomas suppose the group but it frequents of retroperitoneal tumour, being the Schwannoma an unusual tumour with an incidence from 1% to 5% of the retroperitoneal primary tumours. The schwannoma also denominated neurinoma or neurolenoma, it is a derived tumour of the cells of Schwann of the outlying nerves. It is characterized by their clinical and radiological inespecify, being the diagnose pathological, with intense positive inmunohistoquimics to the protein S-100. The election treatment is the surgical remove, with wide margins; not being described cases of malignización neither of metastasis at distance, but if the recurrence existence at probably secondary local level to incomplete resection.

Key words:
Retroperitoneal Schwannoma
Laparoscopy
Syndrome of Von Ricklehausen

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