Anaemia presenting as the sole symptom in a young woman: A case of malignant peripheral nerve sheath tumour of the small intestine
Malignant peripheral nerve sheath tumours (MPNSTs) with gastrointestinal involvement are uncommon. We report the case of a 22-year-old woman presenting with symptomatic anaemia requiring recurrent blood transfusions. Initial haematological evaluations revealed microcytic hypochromic anaemia. Bo...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | en |
| Published: |
Malaysian Medical Association
2025
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| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/51128/1/anaemia.pdf http://ir.unimas.my/id/eprint/51128/ https://mjmcasereports.org/ |
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| Summary: | Malignant peripheral nerve sheath tumours (MPNSTs) with
gastrointestinal involvement are uncommon. We report the
case of a 22-year-old woman presenting with symptomatic
anaemia requiring recurrent blood transfusions. Initial
haematological evaluations revealed microcytic
hypochromic anaemia. Both upper and lower endoscopies
were normal, except for a positive rapid urease test result.
However, computed tomography identified a tumour
originating from the ileum and adherent to the urinary
bladder, along with a mixed-density lesion in the right ovary.
Following multidisciplinary team discussion, en-bloc
resection of the ileal tumour and enucleation of the ovarian
lesion, were performed. Histopathological analysis
confirmed the ileal mass as an MPNST and the ovarian
lesion as a benign cystic teratoma. This case highlights the
rarity of ileal MPNSTs presenting with anaemia and
emphasises the importance of complete surgical excision
and vigilant follow-up owing to the potential for recurrence
and metastasis. |
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