[Middle mediastinal schwannoma originating from the intrathoracic vagal nerve with difficulty in swallowing; report of a case]

Kyobu Geka. 2012 Aug;65(9):840-3.
[Article in Japanese]

Abstract

A 41-year-old male complaining of difficulty in swallowing was referred to our hospital. Chest computed tomography( CT) demonstrated 34×25×36 mm tumors in the subcarinal region. Gadolinium( Gd)-diethylenetriamine pentaacetic acid( DTPA) enhanced magnetic resonance imaging (MRI) showed the tumor with the target appearance sign, i.e., signal intensity of the mass was low on T1-weighted MRI, and the center of the mass was enhanced by Gd-DTPA. A neurogenic tumor was suspected on radiological findings. Resection of the tumor by video-assisted thoracoscopic surgery was performed. The tumor was found to originate from the left vagus nerve by operative findings and was diagnosed as schwannoma by pathological examination.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Cranial Nerve Neoplasms / complications
  • Cranial Nerve Neoplasms / diagnosis*
  • Deglutition Disorders / etiology*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mediastinal Neoplasms / complications
  • Mediastinal Neoplasms / diagnosis*
  • Neurilemmoma / complications
  • Neurilemmoma / diagnosis*
  • Tomography, X-Ray Computed
  • Vagus Nerve Diseases / complications
  • Vagus Nerve Diseases / diagnosis*