[A case of mediastinal schwannoma originating from the thoracic vagal nerve complicated by early stomach cancer].
Most of primary tumors of the nerves arising in the mediastinum originate from the sympathetic or intercostal nerves. Schwannoma developing from the vagal nerve is very rare. The patient was a 73-year-old male referred to us with abnormal chest X-rays and stomach cancer. One-staged operation was performed by thoracic and upper abdominal median incision. The tumor was removed, which measured 6 X 5 X 4 cm and involved the origin of the left recurrent nerve, by neurectomy. To our knowledge, this was the 18th reported case of schwannoma of the intrathoracic vagal nerve in Japan. A similar schwannoma was observed also in the celiac plexus, and this case was also a rare instance of multiple schwannoma.
Department of Surgery, Kobe West Municipal Hospital.
M
M
Yamamoto
G
G
Uga
K
K
Shiota
Y
Y
Ito
M
M
Yamane
M
M
Nishihara
J
J
Nakagawa
D000368:Aged; D003390:Cranial Nerve Neoplasms / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D009378:Neoplasms, Multiple Primary; D009442:Neurilemmoma / Q000473:pathology / Q000601:surgery*; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D014630:Vagus Nerve