Miyazaki Ryohei, Tamura Masaya, Yamamoto Marino, Kitagawa Hiroyuki, Seo Satoru
Department of Thoracic Surgery, Kochi Medical School, Kochi, JPN.
Department of Surgery, Kochi Medical School, Kochi, JPN.
Cureus. 2025 Feb 14;17(2):e79029. doi: 10.7759/cureus.79029. eCollection 2025 Feb.
Schwannoma is the most common type of neurogenic tumor in the thorax and is typically benign. This article describes the case of a 64-year-old asymptomatic woman with abnormal findings on a chest X-ray examination. Preoperative enhanced computed tomography showed the presence of a middle mediastinal tumor measuring 7.4 cm protruding into both thoracic cavities. The mass was adjacent to the posterior aspect of the trachea. The esophagus was compressed to the right, indicating the potential appearance of symptoms in the future. Consequently, we performed simultaneous bilateral video-assisted thoracoscopic surgery in the prone position, achieving complete resection. Postoperative pathological examination revealed a benign schwannoma. Here, we report a case of a middle mediastinal tumor resected by a rarely utilized video-assisted thoracoscopic surgery (VATS) method.
神经鞘瘤是胸部最常见的神经源性肿瘤，通常为良性。本文描述了一名64岁无症状女性的病例，其胸部X线检查有异常发现。术前增强计算机断层扫描显示中纵隔有一个7.4厘米的肿瘤，向双侧胸腔突出。肿块与气管后方相邻。食管被压向右侧，提示未来可能出现症状。因此，我们在俯卧位进行了同步双侧电视辅助胸腔镜手术，实现了完整切除。术后病理检查显示为良性神经鞘瘤。在此，我们报告一例通过很少使用的电视辅助胸腔镜手术（VATS）方法切除的中纵隔肿瘤病例。
