Intrathoracic tumors of the vagus nerve

Rr, Dabir; Piccione, William; Cf, Kittle

doi:10.1016/0003-4975(90)90509-5

Cited by 38 publications

(26 citation statements)

References 16 publications

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“…However, recurrence after surgery has not been reported. [1][2][3][4][6][7][8] How to manage the involved vagus nerve and avoid postoperative nerve dysfunction is a matter of debate. Whether the involved nerve should be sacrificed to ensure complete tumor excision or be preserved by enucleating the tumor and preserving at least part of its sheath to avoid nerve dysfunction remains controversial.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] It is basically benign, but malignant degeneration has been reported in 10% of cases. 4,5) Schwannoma is nonresponsive to radiation or chemotherapy and should thus be resected, not only to prevent further growth and compression of adjacent structures, but also to confirm the nature of the lesion.…”

Section: Introductionmentioning

confidence: 99%

“…4,5) Schwannoma is nonresponsive to radiation or chemotherapy and should thus be resected, not only to prevent further growth and compression of adjacent structures, but also to confirm the nature of the lesion. 1,6) It can be cured by surgery, and recurrence is unusual, except in patients with neurofibromatosis. 1,2) …”

Section: Introductionmentioning

confidence: 99%

“…1,6) It can be cured by surgery, and recurrence is unusual, except in patients with neurofibromatosis. 1,2) …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A Recurrent Vagal Schwannoma in the Middle Mediastinum after Surgical Enucleation

Fujita¹,

Nakashima²,

Kumakura³

et al. 2014

ATCS

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A 50-year-old man underwent repeat surgery for a benign vagal schwannoma in the middle mediastinum. He had undergone tumor enucleation at another hospital 4 months before presentation. The tumor (99 × 88 × 76 mm) was located in the aortopulmonary window and arose from the left vagus nerve. It had been enucleated, leaving its sheath behind to preserve the nerve. Imaging studies showed tumor regrowth without distant metastasis, and the tumor was extirpated along with the involved nerve during cardiopulmonary bypass. There was no nerve dysfunction, recurrence, or metastasis 6 months after the operation. A benign vagal schwannoma can be excised with nerve transection or enucleated without nerve transection. The present case suggests that a vagal mediastinal schwannoma should be extirpated along with the nerve because insufficient enucleation might lead to tumor regrowth.

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