Abstract
An esophageal schwannoma was found in a 73-year-old woman with cough, exertional dyspnea, and progressive dysphagia. Chest imaging showed an upper mediastinal mass (apex, right thoracic cavity) with direct lower tracheal compression. Esophagography and esophagoscopy revealed a tumor in the cervical and upper thoracic esophagus; it was resected from the upper thoracic esophagus followed by cervical esophageal repair. Histology showed oval-to-fusiform cells with palisading and lymphocytic stromal infiltration (immunohistochemistry, S-100 protein-positive). The patient was well one year afterward.
Key words
Thoracic surgery - esophagus - schwannoma
References
-
1
Prevot S, Bienvenu L, Vaillant J C, de Saint-Maur P P.
Benign schwannoma of the digestive tract: a clinicopathologic and immunohistochemical study of five cases, including a case of esophageal tumor.
Am J Surg Pathol.
1999;
23
431-436
-
2
Murase K, Hino A, Ozeki Y. et al .
Malignant schwannoma of the esophagus with lymph node metastasis: literature review of schwannoma of the esophagus.
J Gastroenterol.
2001;
36
772-777
-
3
Manger T, Pross M, Haeckel C, Lipppert H.
Malignant peripheral nerve sheath tumor of the esophagus.
Dig Surg.
2000;
17
627-631
-
4
Kobayashi N, Kikuchi S, Shimao H. et al .
Benign esophageal schwannoma: report of a case.
Surg Today.
2000;
30
526-529
-
5
Naus P J, Tio F O, Gross G W.
Esophageal schwannoma: first report of successful management by endoscopic removal.
Gastrointest Endosc.
2001;
54
520-522
-
6
Ngaage D L, Khan Z A, Cale A R.
Esophageal melanotic schwannoma presenting with superior vena caval obstruction.
Thorac Cardiovasc Surg.
2002;
50
103-104
-
7
Hsu S D, Cheng Y L, Chen A, Lee S C.
Esophageal schwannoma.
J Formos Med Assoc.
2003;
102
346-348
-
8
Vinhais S N, Cabrera R A, Nobre-Leitao C, Cunha T M.
Schwannoma of the esophagus: computed tomography and endosonographic findings of a special type of schwannoma.
Acta Radiol.
2004;
45
718-720
-
9
Sanchez A, Mariangel P, Carrasco C. et al .
Malignant nerve sheath tumor of the esophagus (malignant esophageal schwannoma).
Gastroenterol Hepatol.
2004;
27
467-469
-
10
Miettinen M, Lasota J.
Gastrointestinal stromal tumors (GISTs): definition, occurrence, pathology, differential diagnosis and molecular genetics.
Pol J Pathol.
2003;
54
3-24
-
11
Ohno M, Sugihara J, Miyamura K. et al .
Benign schwannoma of the esophagus removed by enucleation: report of a case.
Surg Today.
2000;
30
59-62
-
12
Daimaru Y, Kido H, Hashimoto H, Enjoji M.
Benign schwannoma of the gastrointestinal tract: a clinicopathologic and immunohistochemical study.
Hum Pathol.
1988;
19
257-264
-
13
Iwata H, Kataoka M, Yamakawa Y. et al .
Esophageal schwannoma.
Ann Thorac Surg.
1993;
56
376-377
-
14
Eberlein T J, Hannan R, Josa M, Sugarbaker D J.
Benign schwannoma of the esophagus presenting as a giant fibrovascular polyp.
Ann Thorac Surg.
1992;
53
343-345
Dr. Hsin-Yuan Fang
Department of Surgery
Changhua Christian Hospital
135 Nanhsiao Street
Changhua
Taiwan 500
Phone: + 88 6 47 23 85 95
Fax: + 88 6 47 22 82 89
Email: 51302@cch.org.tw;d93421104@ntu.edu.tw