Amir Moaaz, Sheikh Salwa
Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Johns Hopkins Aramco Healthcare, Department of Pathology, Dhahran, Saudi Arabia.
J Med Life. 2024 Oct;17(10):953-955. doi: 10.25122/jml-2024-0308.
Schwannomas are peripheral nerve sheath tumors that rarely arise from autonomic nerves of the pleural lining. Most often, they present as slow-growing tumors and are asymptomatic. Herein, we describe the case of an elderly male patient who presented with severe chest pain. An initial chest X-ray detected a suspicious lung lesion. Further examination with a positron emission tomography-computed tomography (PET-CT) scan revealed a hypermetabolic mass in the base of the left pleura. A core needle biopsy of the lesion showed features consistent with a benign pleural schwannoma on histopathological assessment. It is crucial for clinicians and radiologists to recognize this unusual presentation to properly diagnose and appropriately treat patients with this type of tumor, as malignant lesions-whether primary or metastatic-are always part of the differential diagnosis in such cases.
神经鞘瘤是一种周围神经鞘膜肿瘤,很少起源于胸膜衬里的自主神经。大多数情况下,它们表现为生长缓慢的肿瘤且无症状。在此,我们描述一位老年男性患者的病例,该患者出现严重胸痛。最初的胸部X光检查发现一个可疑的肺部病变。进一步的正电子发射断层扫描 - 计算机断层扫描(PET - CT)显示左胸膜底部有一个高代谢肿块。对该病变进行的粗针活检在组织病理学评估中显示出与良性胸膜神经鞘瘤一致的特征。临床医生和放射科医生认识到这种不寻常的表现对于正确诊断和恰当治疗此类肿瘤患者至关重要,因为在这种情况下,恶性病变——无论是原发性还是转移性——始终是鉴别诊断的一部分。