Tokunaga Toshiteru, Takeda Shin-ichi, Sumimura Jun-ichi, Maeda Hajime
Department of Surgery (E1), Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, and Department of General Surgery, Habikino Prefectural Hospital, Osaka, 565-0871, Japan.
Surg Today. 2007;37(6):500-2. doi: 10.1007/s00595-006-3436-x. Epub 2007 May 28.
We report a case of esophageal schwannoma in a 46-year-old woman who presented with rapidly progressive dyspnea and dysphagia. Chest computed tomography showed a large mediastinal mass, which was extrinsically compressing the trachea, widely adjacent to the upper thoracic esophagus. We performed an axillary right thoracotomy to enucleate the tumor, which was located in the esophageal muscle layer. A definite diagnosis of esophageal schwannoma was made from the pathologic findings, which included positive immunohistochemical staining for S-100 protein and negative staining for c-kit and CD34.
我们报告了一例46岁女性的食管神经鞘瘤病例，该患者表现为快速进展的呼吸困难和吞咽困难。胸部计算机断层扫描显示一个巨大的纵隔肿块，该肿块外在压迫气管，紧邻上胸段食管。我们进行了右腋下开胸手术以摘除位于食管肌层的肿瘤。根据病理结果确诊为食管神经鞘瘤，病理结果包括S-100蛋白免疫组化染色阳性，c-kit和CD34染色阴性。
