Uterine schwannoma during pregnancy: a rare case report

ABSTRACT

Background. Schwannomas are nerve sheath neoplasms that form from Schwann cells. These tumors are normally found as a solitary, painless, slow-growing mass of varied size, and they are usually asymptomatic. The uterine cervix is an exceptionally unusual place of occurrence in the female genital system, and schwannomas are infrequent in this area. The purpose of this case report was to contribute to the growing body of knowledge regarding a rare site of schwannomas incidence and its subsequent implications during a normal and physiologic pregnancy.
Case presentation. A 37-year-old lady 0 para came to us in May 2011 at 6 weeks pregnant for obstetric care for her first pregnancy. With the exception of vitamins throughout pregnancy, the lady had no visible ailments and did not take any medicine. The patient underwent C-section at 39 weeks gestation in December 2011 for cephalo-pelvic disproportion. A grayish oval solid lesion 3 × 2 × 1 cm in diameter was removed from the uterine cavity and sent for pathological examination immediately after the placenta was expelled. Histopathology and immunohistochemistry reveled a benign schwannoma. There were no effects noted for the present pregnancy or the following one.
Conclusions. According to the current literature, diagnosis of this tumor during pregnancy and its eventual impact on pregnancy requires more research and inquiry. The goal of this case study was to add to the current scientific knowledge concerning the prevalence of schwannomas and their consequences during a normal and healthy pregnancy.