Department of Thoracic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Ann Thorac Surg. 2011 Apr;91(4):1280-1. doi: 10.1016/j.athoracsur.2010.09.063.
Multiple schwannomas arising from the mediastinal vagus nerve are very rare, but herein we report a case with such lesions involving the bilateral intrathoracic vagus nerves. A 43-year-old man presented with multiple mediastinal tumors during a check-up. A chest computed tomographic scan revealed multiple lesions that appeared strung together like beads along the right vagus nerve. Three small tumors were also evident on the left side of the esophagus. We performed a complete resection of the bilateral mediastinal tumors through right thoracoscopic surgery. The pathologic diagnosis for each of these tumors was a schwannoma without malignant components.
发生于纵隔迷走神经的多发性神经鞘瘤非常罕见，但本文报告了一例累及双侧胸内迷走神经的此类病变。一名 43 岁男性在体检时发现多个纵隔肿瘤。胸部计算机断层扫描显示多个病变，沿着右侧迷走神经呈串珠样排列。食管左侧也可见 3 个小肿瘤。我们通过右侧胸腔镜手术对双侧纵隔肿瘤进行了完全切除。这些肿瘤的病理诊断均为无恶性成分的神经鞘瘤。
