Wu Zhiqiang, Shi Min, Wan Hongli, Gao Wei, Liu Huiping, Wang Zhanpeng, Li Qingxin
Department of Thoracic Surgery, Lanzhou General Hospital, Lanzhou Command, Lanzhou, Gansu 730050, P.R. China.
Department of Pathology, Lanzhou General Hospital, Lanzhou Command, Lanzhou, Gansu 730050, P.R. China.
Oncol Lett. 2014 Jul;8(1):461-463. doi: 10.3892/ol.2014.2116. Epub 2014 May 7.
Neurogenic tumors are the most common type of mediastinal tumor and constitute the majority of neoplasms of the posterior mediastinum. Schwannomas originating from the intrathoracic vagus nerve are extremely rare. The present study describes the case of a 58-year-old man with a large vagal schwannoma in the left superior mediastinum. A large tumor with a round shape was identified in the left superior mediastinum. The tumor originated from and encased the vagus nerve. Using video-assisted thoracoscopic surgery, the tumor was completely excised with amputation of the vagus nerve encased within in the tumor. One year post-surgery, the patient was free of recurrence with no symptoms other than hoarseness.
神经源性肿瘤是纵隔肿瘤最常见的类型，也是后纵隔肿瘤的主要组成部分。起源于胸段迷走神经的施万瘤极为罕见。本研究描述了一名58岁男性患者，其左上纵隔有一个巨大的迷走神经施万瘤。在左上纵隔发现一个圆形的大肿瘤。该肿瘤起源于迷走神经并将其包裹。通过电视辅助胸腔镜手术，完整切除肿瘤，并将被肿瘤包裹的迷走神经一并切断。术后一年，患者未复发，除声音嘶哑外无其他症状。
