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经支气管超声诊断的纵隔淋巴结神经鞘瘤

Schwannoma arising in mediastinal lymph node diagnosed by endobronchial ultrasound.

作者信息

Kang Lae Hyung, Shin Dong Hoon, Yoon Seong-Hoon

机构信息

Department of Internal Medicine, School of Medicine Pusan National University Yangsan Republic of Korea.

Department of Pathology, School of Medicine Pusan National University Yangsan Republic of Korea.

出版信息

Respirol Case Rep. 2019 Aug 20;7(8):e00481. doi: 10.1002/rcr2.481. eCollection 2019 Nov.

DOI:10.1002/rcr2.481
PMID:31452898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6702317/
Abstract

Schwannoma is a peripheral nerve sheath tumour that largely originates from the posterior mediastinum. Schwannoma arising in mediastinal lymph node is extremely rare. A 53-year-old female was referred to our hospital for the evaluation of enlarged mediastinal lymph node. Computed tomography scan revealed a non-enhancing soft tissue mass at Rt. paratracheal area. Endobronchial ultrasound showed a well-defined round-shaped lymph node and transbronchial needle aspiration was performed from this lymph node. Pathologic findings revealed spindle cells with strong S100 positivity. Complete surgical excision was done. We report a rare case of schwannoma arising in mediastinal lymph node diagnosed by endobronchial ultrasound.

摘要

神经鞘瘤是一种主要起源于后纵隔的周围神经鞘肿瘤。起源于纵隔淋巴结的神经鞘瘤极为罕见。一名53岁女性因纵隔淋巴结肿大被转诊至我院评估。计算机断层扫描显示右气管旁区域有一个无强化的软组织肿块。支气管内超声显示一个边界清晰的圆形淋巴结，并对该淋巴结进行了经支气管针吸活检。病理结果显示梭形细胞S100强阳性。已完成完整的手术切除。我们报告一例经支气管内超声诊断的起源于纵隔淋巴结的罕见神经鞘瘤病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/bc6b29d75e5f/RCR2-7-e00481-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/add9cf9f87e0/RCR2-7-e00481-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/0c25343f366c/RCR2-7-e00481-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/bc6b29d75e5f/RCR2-7-e00481-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/add9cf9f87e0/RCR2-7-e00481-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/0c25343f366c/RCR2-7-e00481-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2f/6702317/bc6b29d75e5f/RCR2-7-e00481-g003.jpg

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