Umemori Y, Makihara S, Kotani K, Miyahara N
Department of Thoracic Surgery, Sanyo National Hospital, Ube, Japan.
Kyobu Geka. 2001 Jul;54(7):599-602.
A case of benign schwannoma arising in the brachial plexus with intrathoracic extension was presented. The patient was a 55-year-old man, who was pointed out an abnormal shadow in the left apical region on routine chest X-ray examination. MRI showed that the mass extended to the lowest trunk of the brachial plexus. He had no complaint. Therefore, a diagnostic operation was performed. The tumor was subcapsularly resected with thoracoscopic surgery. Histopathological examination revealed a schwannoma (Antoni type A and B). It should be kept in mind that tumors arising in the brachial plexus are a probable differential diagnosis for tumors at the pulmonary apex, even if no neurological symptoms are seen in the upper extremities.
报告了一例起源于臂丛神经并向胸腔内延伸的良性神经鞘瘤病例。患者为一名55岁男性,在常规胸部X线检查中发现左肺尖区域有异常阴影。磁共振成像(MRI)显示肿块延伸至臂丛神经的最低干。他没有任何不适主诉。因此,进行了诊断性手术。通过胸腔镜手术将肿瘤在包膜下切除。组织病理学检查显示为神经鞘瘤(Antoni A型和B型)。即使上肢未出现神经症状,也应记住起源于臂丛神经的肿瘤可能是肺尖部肿瘤的鉴别诊断之一。