Incidental ancient schwannoma of the posterior mediastinum in a young male: a rare scenario

Ancient schwannoma is a distinctive type of schwannoma occurring mostly in the retroperitoneum. The presentation in the posterior mediastinum is rare. The term ‘ancient’ represents a group of neurogenic tumours showing degenerative changes with marked nuclear atypia. A 26-year-old man was incidental...

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Bibliographic Details
Published in:BMJ case reports 2019-05, Vol.12 (5), p.e227497
Main Authors: Shanmugasundaram, Gouthaman, Thangavel, Periyasamy, Venkataraman, Balasubramanian, Barathi, Gunabooshanam
Format: Article
Language:English
Subjects:
Adult
Calcification
Case reports
Cellular biology
Humans
Lymphoma
Magnetic Resonance Imaging
Male
Mediastinal Neoplasms - diagnostic imaging
Mediastinal Neoplasms - pathology
Mediastinal Neoplasms - surgery
Microscopy
Neurilemmoma - diagnostic imaging
Neurilemmoma - pathology
Neurilemmoma - surgery
Ostomy
Rare Disease
Rare Diseases
Thoracotomy - methods
Tomography, X-Ray Computed
Tumors
World literature
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Summary:Ancient schwannoma is a distinctive type of schwannoma occurring mostly in the retroperitoneum. The presentation in the posterior mediastinum is rare. The term ‘ancient’ represents a group of neurogenic tumours showing degenerative changes with marked nuclear atypia. A 26-year-old man was incidentally detected to have an upper mediastinal mass lesion in the chest X-ray. MRI chest revealed a mixed signal intensity lesion in the left side upper para spinal region of the posterior mediastinum. The patient underwent left posterior thoracotomy and excision of the mass was done. Postoperative period was uneventful. The histopathological feature was typical of Ancient schwannoma. The patient is on regular follow-up and disease free until.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2018-227497