Quartey Benjamin, Lenert Jeffrey, Deb Subrato J, Henry Leonard R
National Capital Consortium, National Naval Medical Center, Department of General Surgery, Bethesda, Maryland, 20889, USA.
National Capital Consortium, National Naval Medical Center, Department of Surgical Oncology, Bethesda, Maryland, 20889, USA.
World J Oncol. 2011 Aug;2(4):191-194. doi: 10.4021/wjon348w. Epub 2011 Aug 24.
Posterior mediastinal schwannomas are benign, slow growing nerve sheath tumors and rarely cause symptoms. We present a case of a 47-year-old man who presents with severe mid-back pain and dyspnea on exertion. Chest radiograph and computed topography revealed a large posterior mediastinum mass. Surgical resection required en bloc resection of a portion of the diaphragm, and wedge resection of the left lower lobe of the lung via left thoracoabdominal approach. Pathology was consistent with ancient schwannoma. This case is unique due to the location and size of the mass and the surgical approach required for complete resection.
后纵隔神经鞘瘤是良性、生长缓慢的神经鞘肿瘤，很少引起症状。我们报告一例47岁男性，表现为严重的中背部疼痛和劳力性呼吸困难。胸部X线片和计算机断层扫描显示后纵隔有一巨大肿块。手术切除需要整块切除部分膈肌，并通过左胸腹联合入路对左肺下叶进行楔形切除。病理结果与陈旧性神经鞘瘤相符。由于肿块的位置、大小以及完整切除所需的手术入路，该病例较为独特。
