经胸腔和颈部同期入路切除分叶状食管神经鞘瘤。
Lobulated esophageal schwannoma resected with concurrent approach from the thorax and cervix.
机构信息
Department of Surgery, Gifu Prefectural General Medical Center, 4-6-1 Noisshiki, Gifu, Japan.
Department of Surgical Oncology, Gifu University School of Medicine, 1-1 Yanagido, Gifu, Japan.
出版信息
World J Surg Oncol. 2018 Feb 13;16(1):29. doi: 10.1186/s12957-018-1334-5.
BACKGROUND
Esophageal schwannomas are rare esophageal submucosal tumors. We herein report a case of a lobulated esophageal schwannoma resected with concurrent approach from the thorax and cervix.
CASE PRESENTATION
A 74-year-old woman visited our hospital with complaint of loss of consciousness, and a lobulated mediastinal tumor was discovered by chance in computed tomography. Upper gastrointestinal endoscopy showed a smooth elevated lesion at a position of 23-28 cm from the incisor teeth. A hypermetabolic appearance was noted on positron emission tomography. Based on these data, a gastrointestinal stromal tumor was suspected. The tumor was enucleated at the thoracic cavity while being pushed from the cervical incision. Pathological examination showed an esophageal schwannoma.
CONCLUSIONS
We experienced a case of lobulated esophageal schwannoma with fluorodeoxyglucose accumulation. We resected the tumor with concurrent approach from the thorax and cervix.
背景
食管 schwann 瘤是一种罕见的食管黏膜下肿瘤。本文报告了一例经胸部和颈部联合入路切除的分叶状食管 schwann 瘤病例。
病例介绍
一名 74 岁女性因意识丧失就诊，计算机断层扫描偶然发现纵隔内分叶状肿瘤。上消化道内镜显示在切牙后 23-28cm 处有一光滑隆起性病变。正电子发射断层扫描显示高代谢表现。根据这些数据，怀疑为胃肠道间质瘤。肿瘤在胸腔内被推挤的同时从颈部切口被切除。病理检查显示为食管 schwann 瘤。
结论
我们遇到了一例伴有氟脱氧葡萄糖摄取的分叶状食管 schwann 瘤。我们经胸部和颈部联合入路切除了肿瘤。
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