Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery
Introduction. Neurogenic tumors in the mediastinum account for approximately 20-30% of all types of mediastinal tumors in adults. This pathology is usually benign and has no or very few symptoms. Schwannoma rarely involves the phrenic nerve. We report a unique case of schwannoma involvement of phren...
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2021-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2021/3276843 |
| _version_ | 1798031603868368896 |
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| author | Lu Huu Pham Kinh Quoc Nguyen Hung Quoc Doan Lanh Sy Nguyen Ha Thi-Ngoc Doan |
| author_facet | Lu Huu Pham Kinh Quoc Nguyen Hung Quoc Doan Lanh Sy Nguyen Ha Thi-Ngoc Doan |
| author_sort | Lu Huu Pham |
| collection | DOAJ |
| description | Introduction. Neurogenic tumors in the mediastinum account for approximately 20-30% of all types of mediastinal tumors in adults. This pathology is usually benign and has no or very few symptoms. Schwannoma rarely involves the phrenic nerve. We report a unique case of schwannoma involvement of phrenic nerve. Case Presentation. The 43-year-old female patient has an annual check-up of computerized tomography to detect the mass in the right middle mediastinum, so the patient was admitted to the hospital. Chest computerized tomography image found a mass of the middle mediastinum with the size of 23×22.3 mm located between the right pulmonary artery and the pericardium with uniform margins and clear boundaries, not invading the surrounding organization. Very little contrast is absorbed after injection. She underwent a uniportal video-assisted thoracoscopic surgery, and this mass was found to be originating from the right phrenic nerve. Resection of the portion of phrenic nerve with mass was performed. Postoperatively, the patient was discharged from the hospital after 4 days of treatment in a clinical condition with no difficulty breathing and no chest pain; postoperative X-ray showed no abnormality, and the right diaphragm was unchanged. Conclusion. Although they are very rare, schwannomas of the phrenic nerve should be considered in the differential diagnosis of mediastinal tumors. Uniportal video-assisted thoracoscopic surgery is a preeminent option with properly sized tumors that deliver good results and have no postoperative complications associated with surgery. |
| first_indexed | 2024-04-11T19:59:03Z |
| format | Article |
| id | doaj.art-6f644723ed544c89828cf90fe3c07585 |
| institution | Directory Open Access Journal |
| issn | 2090-6900 2090-6919 |
| language | English |
| last_indexed | 2024-04-11T19:59:03Z |
| publishDate | 2021-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj.art-6f644723ed544c89828cf90fe3c075852022-12-22T04:05:41ZengHindawi LimitedCase Reports in Surgery2090-69002090-69192021-01-01202110.1155/2021/32768433276843Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic SurgeryLu Huu Pham0Kinh Quoc Nguyen1Hung Quoc Doan2Lanh Sy Nguyen3Ha Thi-Ngoc Doan4Center of Cardiovascular and Thoracic Surgery, Viet Duc University Hospital, Hanoi, VietnamCenter of Anesthesia and Surgical Intensive Care, Viet Duc University Hospital, Hanoi, VietnamCenter of Cardiovascular and Thoracic Surgery, Viet Duc University Hospital, Hanoi, VietnamDepartment of Pathology, Viet Duc University Hospital, Hanoi, VietnamHanoi Medical University, VietnamIntroduction. Neurogenic tumors in the mediastinum account for approximately 20-30% of all types of mediastinal tumors in adults. This pathology is usually benign and has no or very few symptoms. Schwannoma rarely involves the phrenic nerve. We report a unique case of schwannoma involvement of phrenic nerve. Case Presentation. The 43-year-old female patient has an annual check-up of computerized tomography to detect the mass in the right middle mediastinum, so the patient was admitted to the hospital. Chest computerized tomography image found a mass of the middle mediastinum with the size of 23×22.3 mm located between the right pulmonary artery and the pericardium with uniform margins and clear boundaries, not invading the surrounding organization. Very little contrast is absorbed after injection. She underwent a uniportal video-assisted thoracoscopic surgery, and this mass was found to be originating from the right phrenic nerve. Resection of the portion of phrenic nerve with mass was performed. Postoperatively, the patient was discharged from the hospital after 4 days of treatment in a clinical condition with no difficulty breathing and no chest pain; postoperative X-ray showed no abnormality, and the right diaphragm was unchanged. Conclusion. Although they are very rare, schwannomas of the phrenic nerve should be considered in the differential diagnosis of mediastinal tumors. Uniportal video-assisted thoracoscopic surgery is a preeminent option with properly sized tumors that deliver good results and have no postoperative complications associated with surgery.http://dx.doi.org/10.1155/2021/3276843 |
| spellingShingle | Lu Huu Pham Kinh Quoc Nguyen Hung Quoc Doan Lanh Sy Nguyen Ha Thi-Ngoc Doan Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery Case Reports in Surgery |
| title | Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery |
| title_full | Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery |
| title_fullStr | Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery |
| title_full_unstemmed | Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery |
| title_short | Rare Condition of Intrathoracic Phrenic Nerve Schwannoma Successfully Treated with Uniportal Video-Assisted Thoracoscopic Surgery |
| title_sort | rare condition of intrathoracic phrenic nerve schwannoma successfully treated with uniportal video assisted thoracoscopic surgery |
| url | http://dx.doi.org/10.1155/2021/3276843 |
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