Schwannoma of the left brachial plexus mimicking a cervicomediastinal goiter in a young Nigerian Lady

Irabor, David O.; Ladipol, J K; Nwachokor, F N; Thomas, Jaiyeola

doi:10.4314/wajm.v21i3.28027

Cited by 5 publications

(10 citation statements)

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“…Schwannoma, (neurilemmoma), is an infrequent, benign, encapsulated tumour arising from nerve sheath cells 7. This tumour is usually solitary and can arise from any cranial or peripheral nerve 1. It is stretched over the tumour rather than running through it as in neurofibroma 1.…”

Section: Discussionmentioning

confidence: 99%

“…This tumour is usually solitary and can arise from any cranial or peripheral nerve 1. It is stretched over the tumour rather than running through it as in neurofibroma 1. Histologically five variants of schwannomas have been described namely common, plexiform, cellular, epithelioid and ancient schwannoma 4.…”

Section: Discussionmentioning

confidence: 99%

“…The tumour is usually solitary and can arise from any cranial or peripheral nerve 1. Many titles have been given to this tumour since Verocay2 described its microscopic appearance in 1910, neurinoma, peripheral glioma, peripheral fibroblastoma, schwannoma and neurilemmoma, just to mention a few.…”

Section: Introductionmentioning

confidence: 99%

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Ancient schwannoma mimicking a thyroid mass with retrosternal extension

et al. 2013

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We report the case of a middle-aged hypothyroid woman presenting with a neck swelling, voice change and breathing difficulty. On evaluation, she was diagnosed to have goitre with retrosternal extension. The mass was surgically excised and a histopathological report of ancient schwannoma was obtained. A review of literature on schwannomas of the head and neck was carried out. An ancient schwannoma should be considered as one of the differential diagnosis of a cervical mass, even though the clinical presentation point towards a thyroid swelling. At 6 months follow-up, the patient was found to be asymptomatic except for a hoarse voice.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Ancient schwannoma mimicking a thyroid mass with retrosternal extension

et al. 2013

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“…Fine needle aspiration has been tried by authors from Saudi Arabia [9] and another team in Ibadan. [10] Personal experience, though not published shows that the gold standard nowadays for the diagnosis of mediastinal masses is imaging, and it has reduced the incidence of diagnostic thoracotomy in the management of such masses.…”

Section: Introductionmentioning

confidence: 99%

“…Some of the rare tumours of the mediastinum include sarcoma of follicular dendritic cells in the posterior mediastinum, non seminomatous germ cell tumour, adenomatoid tumour, mediastinal extramedullary haemopoietic tumour, thoracic duct cysts and cervicothoracic schwannoma. [8][9][10][11][12] In view of the internal location of most mediastinal masses, symptomatology has to be supported by imaging techniques to define the tumours. Diagnosis was based mainly on clinical features and standard chest radiographs in Nigeria till about a decade ago [13].…”

Section: Introductionmentioning

confidence: 99%

Mediastinal Masses: Pathophysiological Issues and Management Challenges in a Developing World

Thomas¹,

Ogunleye²

2011

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Context: Mediastinal masses occur worldwide. Compartmental occurrence and pathological variants vary widely, hence, the need for more studies. AIM: The study was conducted to further shed light on pathophysiological and current management challenges of mediastinal masses. Settings and Design: It was a prospective hospital based study spanning a period of 5 years. Methods and Materials: We gathered patients in series noting their ages and sex, presenting symptoms, investigation reports, treatment modalities and associated postoperative complications. Statistical Analysis Used: Data was analysed manually looking at frequency distribution, correlation of malignancy with compartment involved and duration of symptoms against incidence of malignancy. Results: We saw 38 patients with significant male preponderance. Most tumours were in anterior mediastinum and population distribution was leptokurtic. Conclusions: Population distribution of mediastinal masses is leptokurtic. The second to the fourth decades of life are mostly affected. There was no correlation between occurrence of malignancy and the mediastinal compartment involved. Most benign tumours are symptomatic and duration of symptoms is not discriminatory between benign and malignant variants. Occurrence of malignancy had no bearing with duration of symptoms. If less than two months, it became significant at sixth month when benignity was positively correlated with long duration of symptoms.

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