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Erschienen in: European Surgery 1/2015

01.02.2015 | Case Report

Giant paratracheal ancient schwannoma in 57-year-old male patient: case report

verfasst von: R. Novotný, J. Hrubý, J. Hlubocký, P. Mitáš, L. Brlicová, J. Valešová, D. Janak, J. Lindner

Erschienen in: European Surgery | Ausgabe 1/2015

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Summary

Background

A 57-year-old male patient who presented with a massive paratracheal tumor was admitted for tumor extirpation. The presented tumor was exposed by a growth spurt in approximately 6 months’ time. This manifested in tracheoesophageal compression symptoms (tracheal deviation on roentgenography, significant dyspnea, and dysphagia). Surgical extirpation was recommended as a treatment of choice.

Method

After positioning patient with rotated head on the contralateral side, a longitudinal incision was made on the anterior border of the sternocleidomastoid muscle extending from the clavicular head to the retromandibular area. The tumor was carefully dissected from structures present in the carotid sheath and fully extirpated in one piece from its bed, which extended proximally to the collar bone and cranially to the angle of the mandible. A histological examination of the extirpated tumor was performed.

Results

After the paratracheal tumor was extirpated, an instant relief from the tracheoesophageal compression symptom was described by the patient. Final diagnosis was determined by a histological examination as an ancient schwannoma.

Conclusion

Currently, the only available treatment for this type of tumor is surgical extirpation. Histological examination is the only method that can establish final diagnosis.
Literatur
1.
Zurück zum Zitat Subhashraj K, Balanand S, Pajaniammalle S. Ancient schwannoma arising from mental nerve. A case report and review. Med Oral Patol Oral Cir Bucal. 2009;14(1):E12–4.PubMed Subhashraj K, Balanand S, Pajaniammalle S. Ancient schwannoma arising from mental nerve. A case report and review. Med Oral Patol Oral Cir Bucal. 2009;14(1):E12–4.PubMed
2.
Zurück zum Zitat Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM. The pathobiologic spectrum of schwannomas. Histol Histopathol. 2003;18(3):925–34.PubMed Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM. The pathobiologic spectrum of schwannomas. Histol Histopathol. 2003;18(3):925–34.PubMed
3.
Zurück zum Zitat Marcos JA, Masera JJ, Ferrer AD, Granados FA, Camacho FZ, Sanchez GB, et al. Neurilemmomas of the oral cavity and the neck. Rev Esp Cir Oral Maxillofac. 2004;26:384–92. Marcos JA, Masera JJ, Ferrer AD, Granados FA, Camacho FZ, Sanchez GB, et al. Neurilemmomas of the oral cavity and the neck. Rev Esp Cir Oral Maxillofac. 2004;26:384–92.
4.
Zurück zum Zitat Santos PP, Freitas VS, Pinto LP, Freitas Rde A, de Souza LB. Clinicopathologic analysis of 7 cases of oral schwannoma and review of the literature. Ann Diagn Pathol. 2010;14:235–9.CrossRefPubMed Santos PP, Freitas VS, Pinto LP, Freitas Rde A, de Souza LB. Clinicopathologic analysis of 7 cases of oral schwannoma and review of the literature. Ann Diagn Pathol. 2010;14:235–9.CrossRefPubMed
5.
Zurück zum Zitat Parvathidevi GK, Panduranga C, Munishwar GB. “Ancient” schwannoma of hypopharynx: a case report with review of literature. Indian J Otolaryngol Head Neck Surg. 2011;63:60–1.CrossRefPubMedCentralPubMed Parvathidevi GK, Panduranga C, Munishwar GB. “Ancient” schwannoma of hypopharynx: a case report with review of literature. Indian J Otolaryngol Head Neck Surg. 2011;63:60–1.CrossRefPubMedCentralPubMed
6.
Zurück zum Zitat Wanjari SP, Wanjari PV, Parwani RN, Tekade SA. Unusually large quiescent ancient schwannoma of hypoglossal nerve. Indian J Dent Res. 2013;24:768–71.CrossRefPubMed Wanjari SP, Wanjari PV, Parwani RN, Tekade SA. Unusually large quiescent ancient schwannoma of hypoglossal nerve. Indian J Dent Res. 2013;24:768–71.CrossRefPubMed
7.
Zurück zum Zitat Murase K, Hino A, Ozeki Y, Karagiri 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.CrossRefPubMed Murase K, Hino A, Ozeki Y, Karagiri 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.CrossRefPubMed
8.
Zurück zum Zitat Bayindir T, Kalcioglu MT, Kizilay A, Karadag N, Akarcay M. Ancient schwannoma of the parotid gland: a case report and review of the literature. J Craniomaxillofac Surg. 2006;34:38–42.CrossRefPubMed Bayindir T, Kalcioglu MT, Kizilay A, Karadag N, Akarcay M. Ancient schwannoma of the parotid gland: a case report and review of the literature. J Craniomaxillofac Surg. 2006;34:38–42.CrossRefPubMed
9.
Zurück zum Zitat Chen CY, Wang WC, Chen CH, Chen YK, Lin LM. Ancient schwannoma of the mouth floor a case report and review. Oral Oncol. 2006;42:281–5.CrossRef Chen CY, Wang WC, Chen CH, Chen YK, Lin LM. Ancient schwannoma of the mouth floor a case report and review. Oral Oncol. 2006;42:281–5.CrossRef
10.
Zurück zum Zitat Athar PP, Norhan NA, Abdul Rahman MS. Ancient schwannoma of the cervical sympathetic chain: a case report. Malays J Med Sci. 2007;14:75–8.PubMedCentralPubMed Athar PP, Norhan NA, Abdul Rahman MS. Ancient schwannoma of the cervical sympathetic chain: a case report. Malays J Med Sci. 2007;14:75–8.PubMedCentralPubMed
11.
Zurück zum Zitat Amirchaghmaghi M, Salehinejad J, Basirar M, Delavarian Z, Javadzade A, Forouzanfar A. Gingival ancient schwannoma: review of Literature and a case report. J Appl Sci. 2010;10:3137–40.CrossRef Amirchaghmaghi M, Salehinejad J, Basirar M, Delavarian Z, Javadzade A, Forouzanfar A. Gingival ancient schwannoma: review of Literature and a case report. J Appl Sci. 2010;10:3137–40.CrossRef
12.
Zurück zum Zitat Kim NR, Chung DH, Park DS, Kim DW, Lee SC, Kim SY, et al. Ancient schwannoma in oral cavity: a report of two cases. J Korean Assoc Oral Maxillofac Surg. 2011;37:530–4.CrossRef Kim NR, Chung DH, Park DS, Kim DW, Lee SC, Kim SY, et al. Ancient schwannoma in oral cavity: a report of two cases. J Korean Assoc Oral Maxillofac Surg. 2011;37:530–4.CrossRef
Metadaten
Titel
Giant paratracheal ancient schwannoma in 57-year-old male patient: case report
verfasst von
R. Novotný
J. Hrubý
J. Hlubocký
P. Mitáš
L. Brlicová
J. Valešová
D. Janak
J. Lindner
Publikationsdatum
01.02.2015
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 1/2015
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-014-0287-3

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