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Unusual Presentation of a Posterior Mediastinal Schwannoma Associated with Chest Pain, Cough, Hemoptysis and Dyspnia

case report | DOI: https://doi.org/10.31579/2690-1897/213

Unusual Presentation of a Posterior Mediastinal Schwannoma Associated with Chest Pain, Cough, Hemoptysis and Dyspnia

  • Manouchehr Aghajanzadeh 1*
  • Alreza Gafernejad 2
  • Hamidi Saidi Saidi. 3
  • Ali Talebi 4
  • Mahmode Khyabani 5
  • Omid Mosaffaee Rad 1
  • Zahra Sadin 6
  • Mohaya Farzin 6,7

1Department of Thoracic Surgery, Guilan University of Medical Sciences, Rasht, Iran 

2Department of Pulmonology, Guilan University of Medical Sciences, Rasht, Iran

3Department of Rdiooncology , Guilan University of Medical Sciences, Rasht, Iran

4Department of pathology, Guilan University of Medical Sciences, Rasht, Iran

5Department of Radiology, Guilan University of Medical Sciences, Rasht, Iran

6Inflammatory Lung Diseases Research Center, Department of Internal Medicine, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

7Department of physiology, Razi Clinical Research Development Center, Guilan University of Medical Sciences, Rasht, Iran

*Corresponding Author: Manouchehr Aghajanzadeh, Department of Thoracic Surgery, Guilan University of Medical Sciences, Rasht, Iran.

Citation: Manouchehr Aghajanzadeh, Alreza Gafernejad, Hamidi Saidi Saidi, Ali Talebi, Mahmode Khyabani, et al, (2024), Unusual Presentation of a Posterior Mediastinal Schwannoma Associated with Chest Pain, Cough, Hemoptysis and Dyspnia, J, Surgical Case Reports and Images, 7(8); DOI:10.31579/2690-1897/213

Copyright: © 2024, Manouchehr Aghajanzadeh. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 22 August 2024 | Accepted: 29 August 2024 | Published: 06 September 2024

Keywords: parenchyma preserving; hepatotomy; lesionectomy; metastatectomy; deep-seated liver lesions

Abstract

Neurogenic tumors (NT) are the most common of posterior mediastinal tumors an 80% of all posterior mediastinal tumors are (NT). They originate from the spinal cord, sympathetic ganglia, or peripheral nerve roots. A schwannoma is a slow-growing, encapsulated, and benign neurogenic tumor. Fewer than 9% of schwannomas are located in the mediastinum. Posterior mediastinal schwannomas originate from neural crest cells and typically from the intercostal nerves. Mediastinal schwannomas are often asymptomatic but may present with unusual symptoms as cough or dyspnea and hemoptysis because of pulmonary invovovement. Although a definitive diagnosis is made by histopathology and immunohistochemical analysis and electron microscopy can be used to help ite final diagnosis. We present a case of a benign posterior mediastinal schwannoma which present in CXR and computed tomography (CT) imaging as a cystic lesion in a 58-year-old woman who admitted to our hospital with back pain,cough,hemomptsis and dyspnea. 

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