Thoracoscopic resection of neurogenic tumor in the thoracic apex: A case report

DOI 25 References
  • Odaka Makoto
    Department of Thoracic Surgery, Jikei University School of Medicine
  • Nakada Takeo
    Department of Thoracic Surgery, Jikei University School of Medicine
  • Asano Hisatoshi
    Department of Thoracic Surgery, Jikei University School of Medicine
  • Yabe Mitsuo
    Department of Thoracic Surgery, Jikei University School of Medicine
  • Hirano Jun
    Department of Thoracic Surgery, Jikei University School of Medicine
  • Morikawa Toshiaki
    Department of Thoracic Surgery, Jikei University School of Medicine

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Other Title
  • 胸腔頂部神経鞘腫に対する胸腔鏡手術
  • A case report

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We often hesitate over which approach to choose in surgical treatment for a neurogenic tumor developing in the thoracic apex. For a correct handling and a satisfactory view, a large incision is often necessary. We report a case of thoracoscopic surgery for a schwannoma that developed in the thoracic apex. A 25-year-old man was referred to our hospital due to an abnormal shadow found on a chest radiograph. Chest CT and MRI showed that the tumor was located in the superior mediastinum, extending up to the thoracic inlet. The preoperative diagnosis was neurogenic tumor of the right thoracic apex. The thoracoscopic appearance showed that the tumor originated from the thoracic sympathetic nerve. Complete thoracoscopic resection was successfully performed. The histological diagnosis was schwannoma. The postoperative course was uneventful, and the patient was discharged from our hospital on the fourth postoperative day. The thoracoscopic surgery could facilitate a satisfactory view and safe operation for the neurogenic tumor of the thoracic apex.

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