Esophageal schwannoma with tracheal compression.
An esophageal schwannoma was found in a 73-year-old woman with cough, exertional dyspnea, and progressive dysphagia. Chest imaging showed an upper mediastinal mass (apex, right thoracic cavity) with direct lower tracheal compression. Esophagography and esophagoscopy revealed a tumor in the cervical and upper thoracic esophagus; it was resected from the upper thoracic esophagus followed by cervical esophageal repair. Histology showed oval-to-fusiform cells with palisading and lymphocytic stromal infiltration (immunohistochemistry, S-100 protein-positive). The patient was well one year afterward.
Chen
H-C
HC
Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan.
Huang
H-J
HJ
Wu
C-Y
CY
Lin
T-S
TS
Fang
H-Y
HY
D000368:Aged; D004938:Esophageal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D009442:Neurilemmoma / Q000150:complications / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery*; D013906:Thoracoscopy