nach oben

European Surgery

Erschienen in:

01.04.2014 | Case Report

Esophageal schwannoma: report of a case and review of the literature

verfasst von: K. Dalcı, MD, O. Yalav, MD, FEBS, A. Rencuzogulları, MD, I. C. Eray, MD, Prof. C. Ozcelik, Prof. F. Doran

Erschienen in: European Surgery | Ausgabe 2/2014

Einloggen, um Zugang zu erhalten

Summary

Background

Esophageal schwannomas are very rarely seen neurogenic tumors and constitute less than 2 % of all esophageal tumors. The current study reports a case of benign esophageal schwannoma and re-evaluates esophageal schwannomas including our case with the other 42 cases in the literature.

Methods

A 61-year-old female patient was referred to our clinic with the complaints of dysphagia and a weight loss. In her upper gastrointestinal system endoscopy, a 20–25-cm submucosal lesion was seen, which compressed the esophagus from outside. On computerized tomography and magnetic resonance imaging of the thorax, a mass lesion was detected at the posterior mediastinum. After a preoperative detailed evaluation, a right posterolateral thoracotomy was performed. The mass was excised with the enucleation technique. The diagnosis of benign esophageal schwannoma was made with immunohistochemical examination.

Results

Postoperative period was uneventful.

Conclusions

Generally, the prognosis of esophageal schwannomas is excellent. Complete removal of the mass producing a negative surgical margin, and in malignant cases, excision of the regional lymph nodes, should be essential for long-term disease-free survival.

Vorheriger Artikel Detection of rare variant of “circumaortic venous collar” during infrarenal abdominal aortic aneurysm repair: case report and literature review

Nächster Artikel Selected commentary to review on novel concepts of columnar lined esophagus

Heitmiller RF, Ls JD, Lipsett PA . Vagal schwannoma. Ann Thorac Surg. 1990;50:811–3.PubMedCrossRef

Saito R, Kitamura M, Suzuki H, Ogawa J, Sageshima M. Esophageal schwannoma. Ann Thorac Surg. 2000;69:1947–9.PubMedCrossRef

Sato K, Maekawa T, Maekawa H, et al. A case of esophageal schwannoma and literature analysis of 18 cases. Esophagus. 2005;2:145–9.CrossRef

Hiranuma C, Omura K, Kawakami K, Tsukayama S, Yoshiba H, Watanabe G. A case of the esophageal schwannoma. Jpn J Gastroenterol Surg. 2003;36:1487–92.CrossRef

Ohno M, Sugihara J, Miyamura K, et al. Benign schwannoma of the esophagus removed by enucleation: report of a case. Surg Today. 2000;30:59–62.PubMedCrossRef

Vinhais SN, Cabrera RA, Nobre-Leitao C, Cunha TM. Schwannoma of the esophagus: computed tomography and endosonographic findings of a special type of schwannoma. Acta Radiol. 2004;45:718–20.PubMedCrossRef

Suzuki H, Nagayo T. Primary tumors of the esophagus other than squamous cell carcinoma. Int Adv Surg Oncol. 1980;3:73.PubMed

Murase K, Hino A, Ozeki Y, Katagiri Y, Onitsuka A, Sugie S. Malignant schwannoma of the esophagus with lymph node metastasis: literature review of schwannoma of the esophagus. J Gastroenterol. 2001;36:772–7.PubMedCrossRef

Chen HC, Huang HJ, Wu CY, Lin TS, Fang HY. Esophageal schwannoma with tracheal compression. Thorac Cardiovasc Surg. 2006;54(8):555–8.PubMedCrossRef

10.

Tokunaga T, Takeda S, Sumimura J, Maeda H. Esophageal schwannoma: report of a case. Surg Today. 2007;37:500–2.PubMedCrossRef

11.

Sanchez ZJ. Benign neurinoma of the esophagus. Bol Trab Soc Cir B Aires. 1956;40:610–1.

12.

Kato K, Shida H, Morimoto M, et al. A case of intramural neurinoma of the esophagus. Nippon Kyobu Rinsho. 1982;41:156–60. In Japanese with English abstract.

13.

Brooks JS, Freeman M, Enterline HT. Malignant ‘Triton’ tumors. Natural history and immunohistochemistry of nine cases with literature review. Cancer. 1985;55:2543–85.PubMedCrossRef

14.

Konishi M, Yamaguchi H, Yoshida S, et al. Endoscopic and clinicopathological features of esophageal submucosal tumors. Shokaki Naishikyo Shinpo. 1989;35:112–5. In Japanese with English abstract.

15.

Perch SJ, Soffen EM, Whittington R, Brooks JJ. Esophageal sarcoma. J Surg Oncol. 1991;48:194–8.PubMedCrossRef

16.

Eberlein TJ, Hannan R, Josa M, Sugarbaker DJ. Benign schwannoma of the esophagus presenting as a giant fibrovascular polyp. Ann Thorac Surg. 1992;53:343–5.PubMedCrossRef

17.

Iwata H, Kataoka M, Kureyama Y, Yamakawa Y, Kuwabara Y, Masaoka A. Esophageal schwannoma. Ann Thorac Surg. 1993;56:376–7.PubMedCrossRef

18.

Arai T, Sugimura H, Suzuki M, et al. Benign schwannoma of the esophagus: report of two cases with immunohistochemical and ultrastructural studies. Pathol Int. 1994;44:460–5.PubMedCrossRef

19.

Nishinaka H, Hara Y, Tanaka M. A case report of neurinoma of the esophagus. J Jpn Soc Clin Surg. 1995;56:1362–6.

20.

Morita I, Mushiaki H, Shinozaki Y, et al. A case of the esophageal submucosal schwannoma with pathological malignant findings. Geka. 1996;58:506–10. In Japanese.

21.

Ishida A, Masaki H, Tabuchi A, et al. A case of neuroschwannoma of the esophagus. J Jpn Soc Clin Surg. 1997;58:2033–7.

22.

Nakamura A, Ito S, Ide S, et al. A thoracoscopically removed schwannoma of the esophagus. Jpn J Gastroenterol Surg. 1998;31:2231–4.CrossRef

23.

Hamoir MF, Minet M, Garin P, Garbar CH, Rombaux P. Schwannoma of the cervical esophagus: case report and clinical and pathological analysis. Rev Laryngol Otol Rhinol. 1998;119:51–4.

24.

Prevot S, Bienvenu L, Vaillant JC, Saint-Maur PP. Benign schwannoma of the digestive tract: a clinicopathologic and immunohistochemical study of five cases, including a case of esophageal tumor. Am J Surg Pathol. 1999;23:431–6.PubMedCrossRef

25.

Kobayashi N, Kikuchi S, Shimao H, et al. Benign esophageal schwannoma: report of a case. Surg Today. 2000;30:526–9.PubMedCrossRef

26.

Cokelaere K, Sciot R, Geboes K. Esophageal plexiform schwannoma. Int J Surg Pathol. 2000;8(4):353–7.PubMedCrossRef

27.

Manger T, Pross M, Haeckel C, et al. Malignant peripheral nerve sheath tumor of the esophagus. Dig Surg. 2000;17:627–31.PubMedCrossRef

28.

Naus PJ, Tio FO, Gross GW. Esophageal schwannoma: first report of successful management by endoscopic removal. Gastrointest Endosc. 2001;54:520–2.PubMedCrossRef

29.

Mi SK, Seung SL, Geung HA. Schwannomas of the gastrointestinal tract: clinicopathological features of 12 cases including a case of esophageal tumor compared with those of gastrointestinal stromal tumors and leiomyomas of the gastrointestinal tract. Pathol Res Pract. 2002;198:605–13.CrossRef

30.

Lasota J, Wasag B, Dansonka-Mieszkowska A, et al. Evaluation of NF2 and NF1 tumor suppressor genes in distinctive gastrointestinal nerve sheath tumors traditionally diagnosed as benign schwannomas: a study of 20 cases. Lab Invest. 2003;83:1361–71.PubMedCrossRef

31.

Hsu SD, Cheng YL, Chen A, Lee SC. Esophageal schwannoma. J Formos Med Assoc. 2003;102:346–8.PubMed

32.

Sanchez A, Mariangel P, Carrasco C, et al. Malignant nerve sheath tumor of the esophagus (malignant esophageal schwannoma). Gastroenterol Hepatol. 2004;27:467–9.PubMedCrossRef

33.

Park BJ, Carrasquillo J, Bains MS, Flores RM. Giant benign esophageal schwannoma requiring esophagectomy. Ann Thorac Surg. 2006;82:340–2.PubMedCrossRef

34.

Basoglu A, Celik B, Sengul TA, et al. Esophageal schwannoma. J Thorac Cardiovasc Surg. 2006;131:492–3.PubMedCrossRef

35.

Marin VP, Yu P, Weber RS. Isolated cervical esophageal reconstruction for rare esophageal tumors. Head Neck. 2006;28(9):856–60PubMedCrossRef

36.

Yoon HY, Kim CB, Lee YH, Kim HG. An obstructing large schwannoma in the esophagus. J Gastrointest Surg. 2008;12:761–3.PubMedCrossRef

37.

Mizuguchi S, Inoue K, Imagawa A, et al. Benign esophageal schwannoma compressing the trachea in pregnancy. Ann Thorac Surg. 2008;85:660–2.PubMedCrossRef

38.

Zhang W, Xue X, Zhou Q. Benign esophageal schwannoma. South Med J. 2008;101:450–1.PubMedCrossRef

39.

Matsuki A, Kosugi S, Kanda T, et al. Schwannoma of the esophagus: a case exhibiting high 18F-fluorodeoxyglucose uptake in positron emission tomography imaging. Dis Esophagus. 2009;22:6–10.CrossRef

40.

Dutta R, Kumar A, Jindal T, Tanveer N. Concurrent benign schwannoma of oesophagus and posterior mediastinum. Interact Cardiovasc Thorac Surg. 2009;9(6):1032–4.PubMedCrossRef

41.

Makino T, Yamasaki M, Takeno A, et al. Thoracoscopic enucleation of esophageal schwannoma exhibiting 18F-fluorodeoxyglucose uptake on positron emission tomography. Dis Esophagus. 2011;26:331–2.PubMedCrossRef

42.

Choo SS, Smith M, Cimino-Mathews A, Yang SC. An early presenting esophageal schwannoma. Gastroenterol Res Pract. 2011;2011:165120PubMedCentralPubMedCrossRef

43.

Wang S, Zheng J, Ruan Z, Huang H, Yang Z, Zheng J. Long-term survival in a rare case of malignant esophageal schwannoma cured by surgical excision. Ann Thorac Surg. 2011;92:357–8.PubMedCrossRef

44.

Kassis ES, Bansal S, Perrino C, et al. Giant asymptomatic primary esophageal schwannoma. Ann Thorac Surg. 2012;93:81–3.CrossRef

45.

Liu T, Liu H, Yang C, Zhang X, Xu S, Liu B. Benign esophageal schwannoma compressing the trachea requiring esophagectomy: a case report. Thorac Cardiovasc Surg. 2012;61(6):1439–902.

46.

Miettinen M, Lasota J. Gastrointestinal stromal tumors (GISTs): definition, occurrence, pathology, differential diagnosis and molecular genetics. Pol J Pathol. 2003;54:3–24.PubMed

47.

Jang KM, Lee KS, Lee SJ, et al. The spectrum of benign esophageal lesions: imaging findings. Korean J Radiol. 2002;3:199–210.PubMedCentralPubMedCrossRef

48.

Levine MS, Buck JL, Pantongrag-Brown L, Buetow PC, Hallman JR, Sobin LH. Leiomyosarcoma of the esophagus: radiographic findings in 10 patients. Am J Roentgenol. 1996;167:27–32.CrossRef

49.

Beaulieu S, Rubin B, Djang D, Conrad E, Turcotte E, Eary JF. Positron emission tomography of schwannomas: emphasizing its potential in preoperative planning. Am J Roentgenol. 2004;182:971–4.CrossRef

50.

Ahmed AR, Watanabe H, Aoki J, Shinozaki T, Takagishi K. Schwannoma of the extremities: the role of PET in preoperative planning. Eur J Nucl Med. 2001;28:1541–51.PubMedCrossRef

51.

Kubota K, Itoh M, Ozaki K, et al. Advantage of delayed whole-body FDG-PET imaging of tumor detection. Eur J Nucl Med. 2001;28:696–703.PubMedCrossRef

52.

Lodge MA, Lucus JD, Marsden PK, Cronin BF, O’Doherty MJ, Smith MA. A PET study of 18FDG uptake in soft tissue masses. Eur J Nucl Med. 1999;26:22–30.PubMedCrossRef

53.

Hamada K, Ueda T, Higuchi I, et al. Peripheral nerve schwannoma: two cases exhibiting increased FDG uptake in early and delayed PET imaging. Skeletal Radiol. 2005;34:52–7.PubMedCrossRef

54.

Okai T, Minamoto T, Ohtsubo K, et al. Endosonographic evaluation of c-kit-positive gastrointestinal stromal tumor. Abdom Imaging. 2003;28:301–7.PubMedCrossRef

55.

Palazzo L, Landi B, Cellier C, Cuillerier E, Roseau G, Barbier JP. Endosonographic features predictive of benign and malignant gastrointestinal stromal cell tumours. Gut. 2000;46:88–92.PubMedCentralPubMedCrossRef

56.

Daimaru Y, Kido H, Hashimoto H, Enjoji M. Benign schwannoma of the gastrointestinal tract. A clinicopathologic and immunohistochemical study. Hum Pathol. 1981;19:257–64.CrossRef

57.

Lewin KJ, Appelman HD. Schwannoma. In: Rosai J, Sobin LH, editors. Tumors of the esophagus and stomach. Washington: AFIP; 1996. p. 442.

58.

Sarlomo-Rikala M, Tsujimura T, Lendahl U, Miettinen M. Patterns of nestin and other intermediate filament expression distinguish between gastrointestinal stromal tumors, leiomyomas and schwannomas. APMIS. 2002;110:499–507.PubMedCrossRef

Titel: Esophageal schwannoma: report of a case and review of the literature
verfasst von: K. Dalcı, MD
O. Yalav, MD, FEBS
A. Rencuzogulları, MD
I. C. Eray, MD
Prof. C. Ozcelik
Prof. F. Doran
Publikationsdatum: 01.04.2014
Verlag: Springer Vienna
Erschienen in: European Surgery / Ausgabe 2/2014
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI: https://doi.org/10.1007/s10353-014-0252-1

Springer Medizin Österreich

Summary

Background

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2014

The history of organ transplantation in Austria

Inguinoscrotal herniation of bladder: case series and literature review

Detection of rare variant of “circumaortic venous collar” during infrarenal abdominal aortic aneurysm repair: case report and literature review

Are we facing a post-antibiotic future in surgery?

Essence-based surgery: a taste for fruitful reasoning

Electrical stimulation of the lower oesophageal sphincter: an emerging therapy for treatment of GORD