Middle mediastinal schwannoma concealed by asthma and GORD.
Prudence DyCristina LajomJosephino SanchezPublished in: BMJ case reports (2018)
Neurogenic tumours of the mediastinum in adults occur most often at the posterior mediastinum, majority of which are benign of nerve sheath in origin. A 72-year-old woman, known asthmatic, presented with chronic symptoms of hoarseness, dysphagia, chest heaviness, easy fatigability, cough, epigastric pain, feeling of abdominal fullness and choking with food intake and at a supine position. Treated for other disorders, routine chest X-ray incidentally found a homogenous convex radiodensity at the right paratracheal area; mass which was also observed with CT and 18F-fludeoxyglucose-positron emission tomography/CT scan studies. Mediastinoscopy with biopsy showed spindle to plump cells with strong S100 positivity. Thoracoscopic surgery done to completely excise the mass found it to be benign schwannoma.
Keyphrases
- computed tomography
- positron emission tomography
- dual energy
- image quality
- induced apoptosis
- lung function
- contrast enhanced
- ultrasound guided
- magnetic resonance imaging
- minimally invasive
- chronic pain
- chronic obstructive pulmonary disease
- cell cycle arrest
- lymph node
- pet imaging
- coronary artery bypass
- spinal cord injury
- pain management
- pet ct
- clinical practice
- high resolution
- neuropathic pain
- case control
- cell death
- spinal cord
- cell proliferation
- sleep quality
- signaling pathway
- endoplasmic reticulum stress
- fine needle aspiration
- depressive symptoms
- acute coronary syndrome
- allergic rhinitis
- cystic fibrosis
- air pollution
- atrial fibrillation
- robot assisted
- mass spectrometry