Mizuguchi Shinjiro, Inoue Kiyotoshi, Imagawa Atsuo, Kitano Yoshinori, Kameyama Masao, Ueda Haruhiko, Inoue Yasuhide
Department of Thoracic Surgery, Bell Land General Hospital, Osaka, Japan.
Ann Thorac Surg. 2008 Feb;85(2):660-2. doi: 10.1016/j.athoracsur.2007.07.088.
A rare case of esophageal schwannoma compressing the trachea in pregnancy is presented. A 29-year-old pregnant woman was hospitalized due to severe dyspnea. Imaging studies revealed a homogeneous tumor (8 cm in diameter) in the posterior mediastinum with compression of the lower trachea. After an uneventful cesarean section, the patient underwent a mini-axillary thoracotomy with video-assisted thoracic surgery. The tumor arose from within the muscular layers of the esophagus and was enucleated by gentle blunt dissection. Pathologic and immunohistochemical examinations revealed a benign esophageal schwannoma.
本文报道了一例妊娠期食管神经鞘瘤压迫气管的罕见病例。一名29岁的孕妇因严重呼吸困难入院。影像学检查显示后纵隔有一个均匀的肿瘤（直径8厘米），压迫下气管。在顺利进行剖宫产术后，患者接受了电视辅助胸腔镜下的小切口腋窝开胸手术。肿瘤起源于食管肌层内，通过轻柔钝性分离将其摘除。病理和免疫组化检查显示为良性食管神经鞘瘤。
