Esophageal schwannoma of the upper mediastinum: report of a case |
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Authors: | Hitoshi Ojima Akihiko Sano Yasuyuki Fukai Makoto Soda Akiko Tanabe Koudai Tomioka Hiroyuki Kuwano |
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Institution: | 1. Department of Gastroenterological Surgery, Gunma Prefectural Cancer Center, 617-1 Takabayashi-Nishi, Ota, Gunma, 373-8550, Japan 2. Department of General Surgical Science, Faculty of Medicine, Gunma University, 3-39-22 Showa-machi, Maebashi, Gunma, 371-8511, Japan
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Abstract: | Esophageal schwannoma is extremely rare, and it is difficult to confirm a definitive diagnosis preoperatively. We report the case of a 67-year-old male with an asymptomatic esophageal schwannoma with a major axis of 6 cm. Computed tomographic angiography was very useful for determining a safe and efficient route of access to the tumor. Although high 18F-fluorodeoxyglucose uptake and high signal were revealed by diffusion-weighted images, a malignant potential was denied by low-grade clinical symptoms and surgical findings. The patient underwent tumor excision via a cervical collar incision and median sternotomy. This procedure was very useful and was shown to be safe for tumor exfoliation from the main blood vessel and nerve. |
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