Qureshi Sajida, Khan Sumayah, Abbasi Waqas Ahmad, Sohail Muneeba
Sajida Qureshi, FCPS, FRCS Meritorious Professor of Surgery, Dow Medical College, Dow University of Health Sciences, Karachi-74200, Pakistan.
Sumayah Khan, FCPS Fellow Upper GI Surgery, Dow Medical College, Dow University of Health Sciences, Karachi-74200, Pakistan.
Pak J Med Sci. 2024 Nov;40(10):2447-2450. doi: 10.12669/pjms.40.10.8824.
Benign tumors of the esophagus are uncommon, and primary esophageal schwannoma of the esophagus is even rarer, accounting for 2% of cases. Less than 30 cases have been reported in the literature. Here we report a case of a young man with a symptomatic giant esophageal schwannoma, which was completely removed by laparoscopic three-staged esophagectomy. This is the first case of such a large lesion being removed by a minimally invasive approach. Our patient was a 22-year-old male, presented with dysphagia and dyspnea for five years. An endoscopy and CT scan suggested a giant leiomyoma. Postoperative biopsy revealed a primary esophageal schwannoma. We present our case of benign esophageal tumor measuring about 10.5 cm in greatest dimension. This is the first schwannoma resection performed with the Mckeown technique among the limited case reports in the literature. Esophageal schwannoma must be kept as a possible diagnosis in patients presenting with benign esophageal tumors. Esophagectomy is the mainstay of treatment for giant esophageal schwannomas. Minimally invasive esophagectomy can be safely performed for giant benign esophageal tumors.
食管良性肿瘤并不常见，原发性食管神经鞘瘤更为罕见，占病例的2%。文献报道的病例不足30例。在此，我们报告一例有症状的巨大食管神经鞘瘤的年轻男性患者，该肿瘤通过腹腔镜三阶段食管切除术被完全切除。这是首例采用微创方法切除如此大病变的病例。我们的患者是一名22岁男性，有五年吞咽困难和呼吸困难症状。内镜检查和CT扫描提示为巨大平滑肌瘤。术后活检显示为原发性食管神经鞘瘤。我们展示了一例最大直径约10.5 cm的食管良性肿瘤病例。在文献中有限的病例报告中，这是首例采用麦克基翁技术进行的神经鞘瘤切除术。对于表现为食管良性肿瘤的患者，必须将食管神经鞘瘤作为一种可能的诊断考虑。食管切除术是巨大食管神经鞘瘤的主要治疗方法。对于巨大食管良性肿瘤，可安全地进行微创食管切除术。
