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Retroperitoneal schwannoma mimicking a large adnexal mass during pregnancy: A case report of full-term delivery followed by postpartum surgical management.

Created on 26 Aug 2026

Authors

Tang-Yu Wang, Ping-Lin Hsieh, Yi-Hsin Lin, Gui-Shuai Huang, Chi-Kang Lin

Published in

Taiwanese journal of obstetrics & gynecology. Volume 65. Issue 5. Pages 1013-1015.

Abstract

The incidence of pelvic tumors detected during pregnancy ranges from 2 to 20 cases per 1000 pregnancies, representing an approximately 2- to 20-fold increase compared to that in the general population. The management of such tumors poses a clinical challenge for obstetricians, who must decide between expectant management, surgical intervention during pregnancy, or, in rare cases, termination of pregnancy.
We report the case of a multiparous woman diagnosed with a large pelvic tumor at 18 weeks of gestation. After a thorough evaluation, surgical intervention was deferred until the postpartum period. The patient subsequently delivered a healthy term infant via vaginal delivery, and surgical tumor resection was performed via laparotomy at 6 weeks postpartum. Histopathological examination confirmed a benign retroperitoneal schwannoma, which is uncommon during pregnancy.
This case offers a potential approach to managing benign maternal adnexal or pelvic neoplasms when malignancy cannot be excluded antenatally.

PMID:
42642118
Bibliographic data and abstract were imported from PubMed on 26 Aug 2026.

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