An Byonggu, Abe Tetsuya, Uemura Norihisa, Higaki Eiji, Hosoi Takahiro, Kuroda Hiroaki, Matsui Takuya, Ishihara Makoto, Kurita Yusuke, Yatabe Yasushi, Shimizu Yasuhiro
Department of Gastroenterological Surgery, Aichi Cancer Center Central Hospital, Nagoya, Japan.
Department of Thoracic Surgery, Aichi Cancer Center Central Hospital, Nagoya, Japan.
Asian J Endosc Surg. 2019 Jul;12(3):348-353. doi: 10.1111/ases.12643. Epub 2018 Aug 30.
Esophageal schwannomas are extremely rare esophageal submucosal tumors. Herein, we report a case of simultaneous resection of left lung cancer and an esophageal schwannoma with video-assisted thoracoscopic surgery. An asymptomatic 74-year-old woman received a diagnosis of an esophageal submucosal tumor during the preoperative assessment of a left lung cancer. The esophageal submucosal tumor arose in the left wall of the lower esophagus, and the patient was diagnosed as having a schwannoma by endoscopic ultrasound-guided fine needle aspiration. She underwent video-assisted thoracoscopic surgery for the simultaneous removal of both tumors. Her postoperative course was uneventful. Thoracoscopic surgery is less invasive than thoracotomy, and this allowed the patient to undergo simultaneous operations for two tumors.
食管神经鞘瘤是极其罕见的食管黏膜下肿瘤。在此,我们报告一例通过电视辅助胸腔镜手术同时切除左肺癌和食管神经鞘瘤的病例。一名无症状的74岁女性在左肺癌术前评估期间被诊断出患有食管黏膜下肿瘤。该食管黏膜下肿瘤起源于食管下段左壁,经内镜超声引导下细针穿刺活检,患者被诊断为神经鞘瘤。她接受了电视辅助胸腔镜手术以同时切除这两种肿瘤。术后恢复顺利。胸腔镜手术的创伤比开胸手术小,这使得患者能够同时接受两种肿瘤的手术。