Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.
Ann Thorac Surg. 2011 Jan;91(1):298-301. doi: 10.1016/j.athoracsur.2010.06.054.
Schwannomas (neurilemmomas) are benign tumors arising from the Schwann cells of the neural sheath. They are typically well-encapsulated lesions and in the chest they are most commonly seen within the posterior mediastinum, often originating along the intercostal nerves. Several operative approaches have previously been described for the resection of these tumors, including thoracoscopic techniques and posterolateral thoracotomy. We report a case of a massive schwannoma (27 cm, maximum diameter), unresectable by described approaches, which was successfully excised using a clamshell thoracotomy.
神经鞘瘤（雪旺细胞瘤）是起源于神经鞘细胞的良性肿瘤。它们通常是包膜完整的病变，在胸部最常见于后纵隔，通常起源于肋间神经。以前曾描述过几种用于切除这些肿瘤的手术方法，包括胸腔镜技术和后外侧开胸术。我们报告了一例巨大的神经鞘瘤（最大直径 27 厘米），用描述的方法无法切除，使用蛤壳式开胸术成功切除。
