Thoracoscopic Approach to Posterior Mediastinal Neurogenic Tumors in the Adult

Reardon, Michael J.; Conklin, Lori D.; Fabre, J; Reardon, Patrick R.; Letsou, George V.

doi:10.1089/lap.1999.9.187

Cited by 10 publications

(7 citation statements)

References 10 publications

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“…Routine chest radiographs rarely show calcifications. [8,10] However none of these standard descriptions fit with the radiological characteristics of the mass seen in our case. Schwannomas arise from the schwann cells of the nerve sheath.…”

Section: Discussionmentioning

confidence: 55%

“…[6] It affects males and females equally, predominantly in the third or fourth decades of life. [7,10] Most patients are asymptomatic, although few may experience pain due to compression of the adjacent structures or intraspinal invasion of the tumor. Radiologically, they appear as spherical paraspinal masses with clean lobular margins, involve one or two posterior intercostal spaces, and can grow to large dimensions.…”

Section: Discussionmentioning

confidence: 99%

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Mass in the Adrenal Region: Not Always of Adrenal Origin: A Diagnostic Dilemma

Maji¹,

Saha²,

Sahu³

2017

OGH Reports

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The rising incidence of incidentally detected adrenal masses reflects the ever growing use of radiologic investigations specially CT scans and MRI. The differential diagnosis is a long list which includes adenoma, myelolipoma, cyst, lipoma, pheochromocytoma, adrenal cancer, metastatic cancer, hyperplasia, and tuberculosis. [5] However rarely a schwannoma is considered in the list of provisional diagnosis. CT scan is often the first line of investigation of choice which along with endocrinological workup can point towards diagnosis. But none of them are 100% specific. Since the posterior mediastinum is anatomically in proximity to the adrenal area, a tumour in such a region can mimic an adrenal mass as was in our case. We herein report such an unusual case where a posterior mediastinal mass was found intraoperatively instead of a 'presumed' adrenal mass as suggested by preoperative radiological investigations!

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Section: Discussionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Mass in the Adrenal Region: Not Always of Adrenal Origin: A Diagnostic Dilemma

Maji¹,

Saha²,

Sahu³

2017

OGH Reports

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“…Both genders are equally affected, predominantly in the third or fourth decades of life 6. The classical presentation is an asymptomatic mass found on chest radiograph.…”

Section: Discussionmentioning

confidence: 99%

Posterior mediastinal mass diagnosed as schwanomma with concomittant tuberculosis

et al. 2014

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A 21-year-old non-smoker, non-hypertensive male without diabetes was referred to our pulmonary medicine department with suspected malignant intrathoracic mass. The clinicoradiological evaluation revealed that it could be a posterior mediastinal mass. The same diagnosis was confirmed on performing CT and MRI. Benign posterior mediastinal schwanomma was suspected as it is the most common posterior mediastinal mass. It was completely resected. Histopathological examination confirmed the same. The mass was also sent for culture for mycobacterium which came out to be positive. The patient recovered from the surgery and postoperative X-ray showed complete clearance. He was treated with antitubercular treatment and responded very well.

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“…Now days, video-assisted thoracoscopic surgery is the preferred technique for the diagnosis and management of benign posterior mediastinal masses, as it is less invasive and results in fewer lung complications and a shorter hospital stay. However, malignant lesions are best approached via open thoracotomy 10 . Patients with benign neurogenic tumours have excellent survival prospects following complete resection, whereas those with malignant tumours have a poorer prognosis 11 .…”

Section: Discussionmentioning

confidence: 99%

Mediastinal schwannoma: A case report

Shrestha

Singh

2013

J. Kathmandu Med. Coll.

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Schwannomas are neurogenic tumours arising from Schwann cells of neural sheath. The peak incidence of these tumours is in 30s to 50s of life, with men and women being equally affected. Schwannoma is an encapsulated tumour which distinguishes it from neurofi broma without encapsulation. With both Schwannoma and neurofi broma, surgical excision results in cure. Our patient, twenty year male, presented with mild, dull aching pain over right antero-lateral chest and non-productive cough associated with breathlessness on physical exertion. Computed tomography of the chest was suggestive of neurogenic tumour (differential diagnoses: ganglioneuroma/ganglioneuroblastoma). The mass was excised via open right posterolateral thoracotomy and was sent for histopathological examination after which he was diagnosed as having Mediastinal Schwannoma. Mediastinal schwannomas, although generally benign and asymptomatic, should be excised upon discovery to prevent the development of life-threatening complications.

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Thoracoscopic Approach to Posterior Mediastinal Neurogenic Tumors in the Adult

Cited by 10 publications

References 10 publications

Mass in the Adrenal Region: Not Always of Adrenal Origin: A Diagnostic Dilemma

Mass in the Adrenal Region: Not Always of Adrenal Origin: A Diagnostic Dilemma

Posterior mediastinal mass diagnosed as schwanomma with concomittant tuberculosis

Mediastinal schwannoma: A case report

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