Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report
Abstract Benign mediastinal tumor is usually asymptomatic and exhibits uncomplicated clinical course. Posterior mediastinal schwannoma is common, but a huge benign tumor causing acute respiratory failure due to mass effect is unusual. We present a patient who suffered from acute respiratory failure...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-03-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-024-02605-1 |
| _version_ | 1797259027213713408 |
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| author | Hsuan-Ying Huang Chien-Ming Lo Hung-I Lu Jen-Ping Chang |
| author_facet | Hsuan-Ying Huang Chien-Ming Lo Hung-I Lu Jen-Ping Chang |
| author_sort | Hsuan-Ying Huang |
| collection | DOAJ |
| description | Abstract Benign mediastinal tumor is usually asymptomatic and exhibits uncomplicated clinical course. Posterior mediastinal schwannoma is common, but a huge benign tumor causing acute respiratory failure due to mass effect is unusual. We present a patient who suffered from acute respiratory failure due to huge mediastinal mass effect and improved after en bloc surgical resection. A 56-year-old woman had no history of systemic disease, but experienced general discomfort and malaise for several months. She was referred to our emergency department after developing sudden respiratory failure. Intubation was performed with ventilator support and she was admitted to the intensive care unit. Chest radiograph and computed tomography showed a huge mass over the left pleural cavity causing left lung, heart, and mediastinal compression. After en bloc resection, she was weaned off the ventilator successfully and was discharged at 24 days after the operation. Postoperative outpatient follow-up showed no symptoms. Mediastinal ancient schwannoma is a rare posterior mediastinal benign tumor. However, mass effect might lead to lethal complications. En bloc resection is necessary for curative treatment. |
| first_indexed | 2024-04-24T23:02:54Z |
| format | Article |
| id | doaj.art-afb60e0aa1b046829f47e57478562225 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-24T23:02:54Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-afb60e0aa1b046829f47e574785622252024-03-17T12:37:51ZengBMCJournal of Cardiothoracic Surgery1749-80902024-03-011911510.1186/s13019-024-02605-1Huge mediastinal ancient schwannoma causing acute respiratory failure: a case reportHsuan-Ying Huang0Chien-Ming Lo1Hung-I Lu2Jen-Ping Chang3Department of Pathology, Kaohsiung Chang Gung Memorial HospitalDepartment of Thoracic and Cardiovascular Surgery, Kaohsiung Chang Gung Memorial HospitalDepartment of Thoracic and Cardiovascular Surgery, Kaohsiung Chang Gung Memorial HospitalDepartment of Thoracic and Cardiovascular Surgery, Kaohsiung Chang Gung Memorial HospitalAbstract Benign mediastinal tumor is usually asymptomatic and exhibits uncomplicated clinical course. Posterior mediastinal schwannoma is common, but a huge benign tumor causing acute respiratory failure due to mass effect is unusual. We present a patient who suffered from acute respiratory failure due to huge mediastinal mass effect and improved after en bloc surgical resection. A 56-year-old woman had no history of systemic disease, but experienced general discomfort and malaise for several months. She was referred to our emergency department after developing sudden respiratory failure. Intubation was performed with ventilator support and she was admitted to the intensive care unit. Chest radiograph and computed tomography showed a huge mass over the left pleural cavity causing left lung, heart, and mediastinal compression. After en bloc resection, she was weaned off the ventilator successfully and was discharged at 24 days after the operation. Postoperative outpatient follow-up showed no symptoms. Mediastinal ancient schwannoma is a rare posterior mediastinal benign tumor. However, mass effect might lead to lethal complications. En bloc resection is necessary for curative treatment.https://doi.org/10.1186/s13019-024-02605-1Mediastinal schwannomaRespiratory failure |
| spellingShingle | Hsuan-Ying Huang Chien-Ming Lo Hung-I Lu Jen-Ping Chang Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report Journal of Cardiothoracic Surgery Mediastinal schwannoma Respiratory failure |
| title | Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report |
| title_full | Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report |
| title_fullStr | Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report |
| title_full_unstemmed | Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report |
| title_short | Huge mediastinal ancient schwannoma causing acute respiratory failure: a case report |
| title_sort | huge mediastinal ancient schwannoma causing acute respiratory failure a case report |
| topic | Mediastinal schwannoma Respiratory failure |
| url | https://doi.org/10.1186/s13019-024-02605-1 |
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