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.
World J Surg Oncol. 2018 Feb 13;16(1):29. doi: 10.1186/s12957-018-1334-5.
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.
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.
We experienced a case of lobulated esophageal schwannoma with fluorodeoxyglucose accumulation. We resected the tumor with concurrent approach from the thorax and cervix.
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。
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。
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。
