Esophageal Schwannoma Successfully Resected with a Bilateral Thoracic Approach—Report of a Case—

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  • 両側開胸にて切除した食道神経鞘腫の1例
  • 症例 両側開胸にて切除した食道神経鞘腫の1例
  • ショウレイ リョウガワカイキョウ ニテ セツジョ シタ ショクドウ シンケイ サヤ シュ ノ 1レイ

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Abstract

<p>A 63-year-old woman was pointed out to have a middle mediastinal giant mass by a chest X-ray examination at a medical checkup. An upper GI endoscopy revealed a submucosal tumor with smooth surface in the middle thoracic esophagus. Boring biopsy taken from the tumor led to the diagnosis of neurogenic tumor. Chest computed tomography scan revealed a hypovascular mass lesion, 7cm in longer diameter, which had widely compressed the left pulmonary hilum and the descending aorta. Since a possibility of tumor invasion to the left pulmonary hilum and the descending aorta could not be ruled out, we initially performed left thoracotomy and confirmed that the tumor was able to be peeled from the left pulmonary hilum and the descending aorta. Subsequently, we changed the position of the patient and performed right thoracotomy. Subtotal esophagectomy with gastric conduit reconstruction was performed. The postoperative course was uneventful and the patient was discharged on the 12th postoperative day. The histopathological diagnosis was esophageal schwannoma. We report the first case of esophageal schwannoma resected with a bilateral thoracic approach.</p>

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