Tchanderli R, Herman D, Bazelly B
Service de Chirurgie Thoracique et Vasculaire, Hôpital Tenon, 4, rue de la Chine, 75020 Paris.
Rev Pneumol Clin. 2004 Sep;60(4):223-5. doi: 10.1016/s0761-8417(04)72103-3.
Spontaneous serious hemothorax has not been described previously as an inaugural signor secondary complication of benign intercostal schwannoma. We report a case in a 45-year-old woman who was hospitalized in an emergency setting after development of massive left hemothorax. After evacuation of the effusion, imaging demonstrated a voluminous apparently neurogenic tumor in an intercostal position. Thoracotomy was required for hemostasis due to persistent bleeding. Tumor resection was performed. At histology, the surgical specimen was found to be a benign schwannoma presenting hemorrhagic remodeling. Resection provided complete cure with no sequelae. This secondary complication favors resection of benign intercostal schwannoma.
自发性严重血胸此前未被描述为良性肋间神经鞘瘤的首发症状或继发并发症。我们报告一例45岁女性病例，该患者在出现大量左侧血胸后紧急住院。胸腔积液引流后，影像学检查显示肋间位置有一个巨大的明显为神经源性的肿瘤。由于持续出血，需要开胸止血。进行了肿瘤切除术。组织学检查发现手术标本为呈现出血性重塑的良性神经鞘瘤。切除后实现了完全治愈，无后遗症。这种继发并发症支持对良性肋间神经鞘瘤进行切除。
