Wang Zhongwei
Department of Radiology, Baoshan People's Hospital, Baoshan, CHN.
Cureus. 2024 May 11;16(5):e60109. doi: 10.7759/cureus.60109. eCollection 2024 May.
Malignant tumors are predominant in the esophagus, in which benign tumors are rare, and esophageal schwannoma is extremely rare. Here, we present a case of a 68-year-old woman with an unexpected chest computed tomography of inhomogeneous, well-defined, progressive delayed enhancement mass, and a paraesophageal lymph node. Mediastinal magnetic resonance imaging revealed an external growth mass in the lower esophagus, with an inhomogeneous signal, multiple internal cysts, and limited diffusion on diffuse-weighted imaging. Upper gastrointestinal radiography revealed a filling defect in the lower segment of the esophagus with no damage to the mucosal surface. Surgical resection and further pathological histology and immunohistochemical examination confirmed the diagnosis of esophageal schwannoma.
恶性肿瘤在食管中占主导地位,良性肿瘤很少见,而食管神经鞘瘤极为罕见。在此,我们报告一例68岁女性病例,其胸部计算机断层扫描显示为不均匀、边界清晰、渐进性延迟强化肿块及食管旁淋巴结。纵隔磁共振成像显示食管下段有一外生性肿块,信号不均匀,内部有多个囊肿,在弥散加权成像上弥散受限。上消化道造影显示食管下段有充盈缺损,黏膜表面无损伤。手术切除并进一步进行病理组织学和免疫组化检查确诊为食管神经鞘瘤。