de Heer Linda M, Teding van Berkhout Ferdinand, Priesterbach-Ackley Loudy P, Buijsrogge Marc P
From the Departments of *Cardiothoracic Surgery, †Pulmonology, and ‡Pathology, University Medical Central Utrecht, Utrecht, The Netherlands.
Innovations (Phila). 2017 Jan/Feb;12(1):64-66. doi: 10.1097/IMI.0000000000000334.
Neurogenic tumors are the most common posterior mediastinal tumors in adults. Schwannomas originating from the recurrent laryngeal nerve are rare. The present study describes a 46-year-old man with a tumor in the left superior mediastinum. Because of the narrow relationship with the aorta and the left pulmonary artery, the tumor was excised by left-sided minithoracotomy. The tumor, a schwannoma, originated from and encased the left recurrent laryngeal nerve. Six months after surgery, the patient was free of recurrence without symptoms other than hoarseness. "Additional imaging by magnetic resonance imaging could raise the probability of a neurogenic origin of the mass, eventually leading to collaboration with the neurosurgeon in this case."
神经源性肿瘤是成人最常见的后纵隔肿瘤。起源于喉返神经的神经鞘瘤很罕见。本研究描述了一名46岁男性，其左上纵隔有一个肿瘤。由于该肿瘤与主动脉和左肺动脉关系密切，通过左侧小切口开胸手术将其切除。该肿瘤为神经鞘瘤，起源于并包裹左喉返神经。术后6个月，患者无复发，除声音嘶哑外无其他症状。“通过磁共振成像进行额外的影像学检查可能会提高该肿块为神经源性的可能性，最终导致在这种情况下与神经外科医生合作。”
