A Case of Benign Esophageal Schwannoma Causing Life-threatening Tracheal Obstruction

A 59-year-old woman presented with a 1- year history of dysphagia. She suffered from a large mediastinal mass obstructing trachea and bilateral main bronchus, which led to dyspnea and disturbed consciousness. Immediate intubation and surgery was required. A solid tumor that included esophagus and ri...

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Bibliographic Details
Published in:Annals of Thoracic and Cardiovascular Surgery 2015, Vol.21(3), pp.289-292
Main Authors: Tomono, Ayako, Nakamura, Tetsu, Otowa, Yasunori, Imanishi, Tatsuya, Tanaka, Yugo, Maniwa, Yoshimasa, Kakeji, Yoshihiro
Format: Article
Language:English
Subjects:
Biomarkers, Tumor - analysis
Biopsy
Case Report
Deglutition Disorders - etiology
dyspnea
Dyspnea - etiology
Emergencies
Endoscopy, Digestive System
Esophageal Neoplasms - chemistry
Esophageal Neoplasms - complications
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy
esophagus
Female
Humans
Immunohistochemistry
Middle Aged
Neurilemmoma - chemistry
Neurilemmoma - complications
Neurilemmoma - pathology
Neurilemmoma - surgery
S100 Proteins - analysis
schwannoma
Tomography, X-Ray Computed
tracheal obstruction
Tracheal Stenosis - diagnosis
Tracheal Stenosis - etiology
Tracheal Stenosis - surgery
Treatment Outcome
Tumor Burden
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Summary:A 59-year-old woman presented with a 1- year history of dysphagia. She suffered from a large mediastinal mass obstructing trachea and bilateral main bronchus, which led to dyspnea and disturbed consciousness. Immediate intubation and surgery was required. A solid tumor that included esophagus and right vagal nerve, and adhered to the membranous part of the bronchus was found. However, the tumor could be resected en bloc and the patient has been free from recurrence. Pathologically, the tumor exhibited proliferative spindle cells and was diffusely positive for S-100 protein. It was therefore diagnosed as a benign esophageal schwannoma. To our knowledge, this is the first report of tracheal obstruction from a benign esophageal schwannoma, which we successfully treated with emergency subtotal esophagectomy.
ISSN:1341-1098
2186-1005
DOI:10.5761/atcs.cr.14-00171