A case of symptomatic vagus nerve schwannoma displacing the left bronchus
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- Ishiguro Yuki
- Department of Thoracic Surgery, National Center for Global Health and Medicine
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- Sekihara Keigo
- Department of Thoracic Surgery, National Center for Global Health and Medicine
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- Hirai Hoshie
- Department of Thoracic Surgery, National Center for Global Health and Medicine
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- Sumiya Ryusuke
- Department of Thoracic Surgery, National Center for Global Health and Medicine
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- Sugimura Aya
- Department of Thoracic Surgery, National Center for Global Health and Medicine
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- Nagasaka Satoshi
- Department of Thoracic Surgery, National Center for Global Health and Medicine
Bibliographic Information
- Other Title
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- 左主気管支を圧排し咳嗽を呈した迷走神経由来の神経鞘腫の1例
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Abstract
<p>Schwannoma is a benign tumor that often occurs in the posterior mediastinum and arises from the sympathetic or intercostal nerve. The majority of cases are not symptomatic, and an operation is performed without a pathological diagnosis. Case: A 69-year-old woman complaining of a chronic cough underwent computed tomography (CT) for the inspection of a gastric submucosal tumor (SMT). Incidentally, it showed a cyctic tumor on the dorsal side of the left main bronchus, surrounded by the descending aorta and esophagus. We conducted endoscopic ultrasound fine needle aspiration (EUS-FNA) and diagnosed it as a schwannoma pathologically. The nodule affected the bronchial wall, and so was a suspected cause of coughing. We removed the tumor by thoracoscopic surgery, and it was revealed that it originated from the vagus nerve. It is difficult to diagnose a middle mediastinal tumor preoperatively because it could be close to critical organs and vessels. Although needle biopsy involves a risk of bleeding, we could make a preoperative diagnosis. We encountered the rare case of a symptomatic middle mediastinum schwannoma that originated from the vagus nerve.</p>
Journal
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- The Journal of the Japanese Association for Chest Surgery
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The Journal of the Japanese Association for Chest Surgery 34 (1), 13-17, 2020-01-15
The Japanese Association for Chest Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390565134816476928
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- NII Article ID
- 130007784967
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- ISSN
- 18814158
- 09190945
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed