Schwannoma tipo A de Antoni de região retro orbitária
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Publicado
Jun 16, 2023
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Resumo
Objetivo: Descrever o caso diagnosticado como Schwannoma tipo A de Antoni em região retro orbitária esquerda e de uma ampla e crítica discussão da literatura, buscou-se abordar do diagnóstico à terapêutica após a descoberta dos Corpos de Verocay. Detalhamento de caso: Paciente do sexo feminino, parda, 78 anos, com queixa e diagnóstico oftalmológico de amaurose no olho esquerdo, com evolução de oito anos. Ao exame físico presença de exoftalmia a esquerda, tomografia computadorizada de órbita apresentando imagem de lesão expansiva com atenuação média de partes moles, contornos regulares, parcialmente definidos, localizada em situação intraconal retrobulbar à esquerda, medindo aproximadamente 2.8x2.5x2.5cm, com moderada proptose bulbar correspondente. Considerações finais: O diagnóstico tardio do schwanoma retro-orbital está diretamente correlacionado uma ampla cadeia de sinais e sintomas que corroboram para um quadro clínico de confundimento e retardo no diagnóstico e tratamento, onde a excisão cirúrgica alargada continua a ser a principal conduta.
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Como Citar
GatisM. C. de Q., Cavalcanti FilhoJ. B. H., FreitasM. H. B. de, CavalcantiM. A. S. de M., FerreiraM. C. P. V., BarrosR. K. D., FerreiraA. P. V. S., SilvaL. S. R. da, LagoC. A. P. do, & VasconcelosB. C. do E. (2023). Schwannoma tipo A de Antoni de região retro orbitária. Revista Eletrônica Acervo Saúde, 23(6), e13074. https://doi.org/10.25248/reas.e13074.2023
Seção
Estudos de Caso
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Referências
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2. AMMOUN S, et al. Axl/Gas6/NFκB signalling in schwannoma pathological proliferation, adhesion and survival. Oncogene, 2014; 33(3): 336-346.
3. ANNIE DAI BA e CAI JP. Intravascular schwannoma: A review of a rare diagnosis. Journal of cutaneous pathology, 2021; 48(2), 314–317.
4. BAGAGLIA SA, et al. Intraconal Retro-Orbital B-Type Antoni Neurinoma Causing Vision Loss. The Journal of craniofacial surgery, 2020; 31(6): e597–e599.
5. BARHMI I, et al. Uncommon presentation of orbital schwanomma: A case report. International journal of surgery case reports, 2016; 26: 173-175.
6. BASER ME, et al. Increasing the specificity of diagnostic criteria for schwannomatosis. Neurology. 2006; 66(5): 730-732.
7. BORTOLOTTI JA, et al. Schwannoma de nervo vestibular, uma revisão bibliográfica. Brazilian Journal of Development, 2021; 7(1): 3737-3745.
8. BRASIL. Resolução CNS nº 466 de 12 de dezembro de 2012. 2012. Disponível em: https://www.inca.gov.br/publicacoes/legislacao/resolucao-cns-466-12#:~:text=Aprova%20as%20diretrizes%20e%20normas,revoga%20as%20Resolu%C3%A7%C3%B5es%20CNS%20nos. Acessado em: 7 de março de 2023.
9. CARAMANTI RL, et al. Orbital Schwannoma: Case Report and Review. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 2019; 38(03): 199-202.
10. CHASKES MB e RABINOWITZ MR. Orbital Schwannoma. Journal of neurological surgery. Part B, Skull base, 2020; 81(4): 376–380.
11. DERVIŞOĞULLARI MS, et al. Isolated Schwannoma of the Upper Eyelid Margin in a 50-year-old Male. Turkish journal of ophthalmology, 2016; 46(6): 291–292.
12. DULANI S, et al. A Bilobed Schwannoma in Roof of Orbit: A Rare Case Report. Case Reports in Ophthalmological Medicine, 2012; 1–4.
13. EL HALIMI R, et al. Schwannome orbitaire: aspects cliniques, radiologiques et chirurgicaux. Journal Français d’Ophtalmologie, 2013; 36(2): 160–163.
14. FERNER RE. Neurofibromatosis 1 and neurofibromatosis 2: a twenty first century perspective. The Lancet. Neurology, 2007; 6(4): 340–351.
15. GHASSIBI MP, et al. Neural Tumors of the Orbit - What Is New?. Asia-Pacific journal of ophthalmology, 2017; 6(3): 273–282.
16. JAYARAM A, et al. A retrospective review of cases preoperatively diagnosed by radiologic imaging as cavernous venous malformations. Orbit, 2017; 36(3): 128–134.
17. JENG TYNG C, et al. Uncommon primary tumors of the orbit diagnosed by computed tomography-guided core needle biopsy: report of two cases. Radiologia brasileira, 2014; 47(6): 380–383.
18. JOSHI R. Learning from eponyms: Jose Verocay and Verocay bodies, Antoni A and B areas, Nils Antoni and Schwannomas. Indian dermatology online journal, 2012; 3(3): 215–219.
19. KAPUR R, et al. Orbital Schwannoma and Neurofibroma: Role of Imaging. Neuroimaging Clinics of North America, 2005; 15(1): 159–174.
20. KIM KS, et al. Schwannoma of the Orbit. Archives of craniofacial surgery, 2015; 16(2): 67–72.
21. KONRAD EA e THIEL HJ. Schwannoma da órbita. Oftalmológica, 1984; 188: 118 – 127.
22. LEUNG K, et al. Primary recurrent orbital schwannoma treated with surgical excision and Mitomycin-C. American journal of ophthalmology case reports, 2020; 19: 100784.
23. LIEB WE. Tumoren und tumorähnliche Läsionen der Orbita. HNO, 2010; 58(7): 661–671.
24. LOPEZ J, et al. Orbital schwannoma management: a case report, literature review, and potential paradigm shift. Orbit, 2022; 41(1): 15-27.
25. LOU X, et al. Orbital schwannoma with hyposmia as the only presentation: Case report and a literature review on differential diagnosis. Ear, nose, & throat journal, 2021; 1455613211059862.
26. MAHORE A, et al. Intraconal optic sheath schwannoma: report of two cases. British journal of neurosurgery, 2019; 33(1): 101-103.
27. MERCADO GJV, et al. Dual histologic variants of schwannomas in orbital schwannomatosis. Int J Ophthalmol., 2022; 15(9): 1563-1565.
28. MORA-RÍOS LE, et al. Schwannoma infraorbitario. Informe de un caso [Infraorbital schwannoma. Case report]. Cir Cir, 2014; 82(1): 76-80.
29. MORSI NH, et al. Isolated eyelid Schwannoma: A rare differential diagnosis of lid tumor. Saudi Journal of Ophthalmology, 2017; 31(2): 112-114.
30. MORTUZA S, et al. Primary intraocular ancient schwannoma: a case report and review of the literature. Head & neck, 2014; 36(4): E36–E38.
31. PETRUZZELLI MG, et al. Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review. Pain research & management, 2019; 5392945.
32. POINTDUJOUR-LIM R, et al. Orbital Schwannoma: Radiographic and Histopathologic Correlation in 15 Cases. Ophthalmic plastic and reconstructive surgery, 2018; 34(2): 162–167.
33. PUSHKER N. Orbital schwannoma: a clinicopathologic study. International Ophthalmology, 2015; 35(4): 481–486.
34. RAMEY WL, et al. A rare case of optic nerve schwannoma: case report and review of the literature. Cureus, 2015; 7(4).
35. RIBEIRO SFT, et al. An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma. Case reports in ophthalmology, 2017; 8(2): 294–300.
36. RODRIGUEZ FJ, et al. Pathology of peripheral nerve sheath tumors: diagnostic overview and update on selected diagnostic problems. Acta Neuropathol. 2012; 123(3): 295-319.
37. SHARIPOV OI, et al. Epibulbar schwannoma in a 12-year-old boy A case report and review of literature. Burdenko, 2019; 83(1): 105–111.
38. SHARMA P, et al. Clinicopathological analysis of extracranial head and neck schwannoma: A case series. Journal of cancer research and therapeutics, 2019; 15(3): 659–664.
39. SHEIKH MM e DE JESUS O. StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. Schwannoma. Updated, 2021.
40. SHEN WC, et al. Neurilemmoma of the oculomotor nerve presenting as an orbital mass: MR findings. AJNR. American journal of neuroradiology, 1993; 14(5): 1253–1254.
41. SWEENEY AR, et al. Orbital peripheral nerve sheath tumors. Survey of ophthalmology, 2017; 62(1): 43–57.
42. XIAO J, et al. Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma. Medicine, 2020; 99(25): e20747.
43. YONG KL, et al. Orbital Schwannoma-Management and Clinical Outcomes. Ophthalmic Plast Reconstr Surg., 2020; 36(6): 590-595.
2. AMMOUN S, et al. Axl/Gas6/NFκB signalling in schwannoma pathological proliferation, adhesion and survival. Oncogene, 2014; 33(3): 336-346.
3. ANNIE DAI BA e CAI JP. Intravascular schwannoma: A review of a rare diagnosis. Journal of cutaneous pathology, 2021; 48(2), 314–317.
4. BAGAGLIA SA, et al. Intraconal Retro-Orbital B-Type Antoni Neurinoma Causing Vision Loss. The Journal of craniofacial surgery, 2020; 31(6): e597–e599.
5. BARHMI I, et al. Uncommon presentation of orbital schwanomma: A case report. International journal of surgery case reports, 2016; 26: 173-175.
6. BASER ME, et al. Increasing the specificity of diagnostic criteria for schwannomatosis. Neurology. 2006; 66(5): 730-732.
7. BORTOLOTTI JA, et al. Schwannoma de nervo vestibular, uma revisão bibliográfica. Brazilian Journal of Development, 2021; 7(1): 3737-3745.
8. BRASIL. Resolução CNS nº 466 de 12 de dezembro de 2012. 2012. Disponível em: https://www.inca.gov.br/publicacoes/legislacao/resolucao-cns-466-12#:~:text=Aprova%20as%20diretrizes%20e%20normas,revoga%20as%20Resolu%C3%A7%C3%B5es%20CNS%20nos. Acessado em: 7 de março de 2023.
9. CARAMANTI RL, et al. Orbital Schwannoma: Case Report and Review. Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery, 2019; 38(03): 199-202.
10. CHASKES MB e RABINOWITZ MR. Orbital Schwannoma. Journal of neurological surgery. Part B, Skull base, 2020; 81(4): 376–380.
11. DERVIŞOĞULLARI MS, et al. Isolated Schwannoma of the Upper Eyelid Margin in a 50-year-old Male. Turkish journal of ophthalmology, 2016; 46(6): 291–292.
12. DULANI S, et al. A Bilobed Schwannoma in Roof of Orbit: A Rare Case Report. Case Reports in Ophthalmological Medicine, 2012; 1–4.
13. EL HALIMI R, et al. Schwannome orbitaire: aspects cliniques, radiologiques et chirurgicaux. Journal Français d’Ophtalmologie, 2013; 36(2): 160–163.
14. FERNER RE. Neurofibromatosis 1 and neurofibromatosis 2: a twenty first century perspective. The Lancet. Neurology, 2007; 6(4): 340–351.
15. GHASSIBI MP, et al. Neural Tumors of the Orbit - What Is New?. Asia-Pacific journal of ophthalmology, 2017; 6(3): 273–282.
16. JAYARAM A, et al. A retrospective review of cases preoperatively diagnosed by radiologic imaging as cavernous venous malformations. Orbit, 2017; 36(3): 128–134.
17. JENG TYNG C, et al. Uncommon primary tumors of the orbit diagnosed by computed tomography-guided core needle biopsy: report of two cases. Radiologia brasileira, 2014; 47(6): 380–383.
18. JOSHI R. Learning from eponyms: Jose Verocay and Verocay bodies, Antoni A and B areas, Nils Antoni and Schwannomas. Indian dermatology online journal, 2012; 3(3): 215–219.
19. KAPUR R, et al. Orbital Schwannoma and Neurofibroma: Role of Imaging. Neuroimaging Clinics of North America, 2005; 15(1): 159–174.
20. KIM KS, et al. Schwannoma of the Orbit. Archives of craniofacial surgery, 2015; 16(2): 67–72.
21. KONRAD EA e THIEL HJ. Schwannoma da órbita. Oftalmológica, 1984; 188: 118 – 127.
22. LEUNG K, et al. Primary recurrent orbital schwannoma treated with surgical excision and Mitomycin-C. American journal of ophthalmology case reports, 2020; 19: 100784.
23. LIEB WE. Tumoren und tumorähnliche Läsionen der Orbita. HNO, 2010; 58(7): 661–671.
24. LOPEZ J, et al. Orbital schwannoma management: a case report, literature review, and potential paradigm shift. Orbit, 2022; 41(1): 15-27.
25. LOU X, et al. Orbital schwannoma with hyposmia as the only presentation: Case report and a literature review on differential diagnosis. Ear, nose, & throat journal, 2021; 1455613211059862.
26. MAHORE A, et al. Intraconal optic sheath schwannoma: report of two cases. British journal of neurosurgery, 2019; 33(1): 101-103.
27. MERCADO GJV, et al. Dual histologic variants of schwannomas in orbital schwannomatosis. Int J Ophthalmol., 2022; 15(9): 1563-1565.
28. MORA-RÍOS LE, et al. Schwannoma infraorbitario. Informe de un caso [Infraorbital schwannoma. Case report]. Cir Cir, 2014; 82(1): 76-80.
29. MORSI NH, et al. Isolated eyelid Schwannoma: A rare differential diagnosis of lid tumor. Saudi Journal of Ophthalmology, 2017; 31(2): 112-114.
30. MORTUZA S, et al. Primary intraocular ancient schwannoma: a case report and review of the literature. Head & neck, 2014; 36(4): E36–E38.
31. PETRUZZELLI MG, et al. Recurrent Painful Ophthalmoplegic Neuropathy and Oculomotor Nerve Schwannoma: A Pediatric Case Report with Long-Term MRI Follow-Up and Literature Review. Pain research & management, 2019; 5392945.
32. POINTDUJOUR-LIM R, et al. Orbital Schwannoma: Radiographic and Histopathologic Correlation in 15 Cases. Ophthalmic plastic and reconstructive surgery, 2018; 34(2): 162–167.
33. PUSHKER N. Orbital schwannoma: a clinicopathologic study. International Ophthalmology, 2015; 35(4): 481–486.
34. RAMEY WL, et al. A rare case of optic nerve schwannoma: case report and review of the literature. Cureus, 2015; 7(4).
35. RIBEIRO SFT, et al. An Unusual Differential Diagnosis of Orbital Cavernous Hemangioma: Ancient Schwannoma. Case reports in ophthalmology, 2017; 8(2): 294–300.
36. RODRIGUEZ FJ, et al. Pathology of peripheral nerve sheath tumors: diagnostic overview and update on selected diagnostic problems. Acta Neuropathol. 2012; 123(3): 295-319.
37. SHARIPOV OI, et al. Epibulbar schwannoma in a 12-year-old boy A case report and review of literature. Burdenko, 2019; 83(1): 105–111.
38. SHARMA P, et al. Clinicopathological analysis of extracranial head and neck schwannoma: A case series. Journal of cancer research and therapeutics, 2019; 15(3): 659–664.
39. SHEIKH MM e DE JESUS O. StatPearls. Treasure Island (FL): StatPearls Publishing; 2021. Schwannoma. Updated, 2021.
40. SHEN WC, et al. Neurilemmoma of the oculomotor nerve presenting as an orbital mass: MR findings. AJNR. American journal of neuroradiology, 1993; 14(5): 1253–1254.
41. SWEENEY AR, et al. Orbital peripheral nerve sheath tumors. Survey of ophthalmology, 2017; 62(1): 43–57.
42. XIAO J, et al. Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma. Medicine, 2020; 99(25): e20747.
43. YONG KL, et al. Orbital Schwannoma-Management and Clinical Outcomes. Ophthalmic Plast Reconstr Surg., 2020; 36(6): 590-595.