Minimally invasive resection of a giant esophageal schwannoma

Benign tumors of the esophagus are uncommon, and primary esophageal schwannoma of the esophagus is even rarer, accounting for 2% of cases. Less than 30 cases have been reported in the literature. Here we report a case of a young man with a symptomatic giant esophageal schwannoma, which was completel...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2024-11, Vol.40 (10), p.2447-2450
Main Authors: Qureshi, Sajida, Khan, Sumayah, Abbasi, Waqas Ahmad, Sohail, Muneeba
Format: Article
Language:English
Subjects:
Airway management
Asymptomatic
Barium
Case Report
Case reports
Dissection
Dysphagia
Dyspnea
Endoscopy
Esophagus
Fibroids
Histopathology
Lymphatic system
Medical imaging
Ostomy
Surgery
Tumors
Ultrasonic imaging
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Summary:Benign tumors of the esophagus are uncommon, and primary esophageal schwannoma of the esophagus is even rarer, accounting for 2% of cases. Less than 30 cases have been reported in the literature. Here we report a case of a young man with a symptomatic giant esophageal schwannoma, which was completely removed by laparoscopic three-staged esophagectomy. This is the first case of such a large lesion being removed by a minimally invasive approach. Our patient was a 22-year-old male, presented with dysphagia and dyspnea for five years. An endoscopy and CT scan suggested a giant leiomyoma. Postoperative biopsy revealed a primary esophageal schwannoma. We present our case of benign esophageal tumor measuring about 10.5 cm in greatest dimension. This is the first schwannoma resection performed with the Mckeown technique among the limited case reports in the literature. Esophageal schwannoma must be kept as a possible diagnosis in patients presenting with benign esophageal tumors. Esophagectomy is the mainstay of treatment for giant esophageal schwannomas. Minimally invasive esophagectomy can be safely performed for giant benign esophageal tumors.
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.40.10.8824