Ito I, Komota K, Nakajima T, Ishibashi K, Kawazoe K
3rd Department of Surgery, Iwate Medical University, Morioka, Japan.
Kyobu Geka. 1994 Apr;47(4):325-7.
A case of neurilemmoma originating from the intrathoracic vagal nerve was reported. An asymptomatic 51-year-old man was admitted because of a mass shadow on chest roentgenograms. Under the possible diagnosis of benign bronchogenic cyst, right thoracotomy was carried out. An encapsulated solid tumor originating from the right vagal nerve was found in the site distal to the branching point of recurrent nerve. The tumor was removed by transection of the vagal nerve. Postoperative clinical course was uneventful except the transient sinus tachycardia. The pathological diagnosis was neurilemmoma. Mediastinal neurilemmoma originating from the vagal nerve is rare. To our knowledge, only 29 cases are reported in the Japanese literatures.
报告了一例起源于胸段迷走神经的神经鞘瘤。一名51岁无症状男性因胸部X线片上的肿块阴影入院。在可能诊断为良性支气管囊肿的情况下,进行了右开胸手术。在喉返神经分支点远端发现一个起源于右迷走神经的包膜实性肿瘤。通过切断迷走神经切除肿瘤。术后临床过程顺利,仅出现短暂性窦性心动过速。病理诊断为神经鞘瘤。起源于迷走神经的纵隔神经鞘瘤罕见。据我们所知,日本文献中仅报道了29例。