Abstract

Plexiform schwannoma is an infrequent variant of schwannoma characterized grossly and microscopically by multi-nodular growth. Although plexiform schwannoma has such growth patterns, it is a benign tumor as well as a conventional schwannoma. It rarely infiltrates adjacent organs or arises from the organ itself. In this report, we describe a case in which plexiform schwannoma involved the tracheal wall and left recurrent laryngeal nerve to a great extent. As it was expected to be difficult to achieve complete resection even if the longer tracheal resection were performed, we preserved the trachea and resected as much of the tumor as possible. This report is thought to be the first to describe plexiform schwannoma infiltrating or growing from the trachea. Although the treatment decisions we made might be controversial, we believed we could make an accurate diagnosis and adequate treatment decision through surgery.Electronic supplementary materialThe online version of this article (doi:10.1186/s40792-015-0070-0) contains supplementary material, which is available to authorized users.

Highlights

  • Plexiform schwannoma is an infrequent variant of schwannoma characterized grossly and microscopically by multinodular growth [1]

  • We describe a case in which plexiform schwannoma involved the tracheal wall and left recurrent laryngeal nerve to a great extent

  • Case presentation A 39-year-old man with hoarseness and dysphasia was referred to our department for evaluation of left vocal cord palsy and a tracheal tumor that was revealed on computed tomography (CT)

Read more

Summary

Background

Plexiform schwannoma is an infrequent variant of schwannoma characterized grossly and microscopically by multinodular growth [1]. We describe a case in which plexiform schwannoma involved the tracheal wall and left recurrent laryngeal nerve to a great extent. This is thought to be the first case report of plexiform schwannoma infiltrating or growing from the trachea. Surgical exploration revealed a yellowish, soft, multinodular tumor stretching along the left recurrent nerve and infiltrating the tracheal and esophageal walls (Fig. 2a, b). The intraoperative pathological diagnosis was schwannoma without malignancy This tumor was Nagata et al Surgical Case Reports (2015) 1:67. If this tumor grows up intraluminally, we will resect it under rigid bronchoscopy Pathological diagnosis of this tumor was typical schwannoma without malignant findings. We should suspect of malignant transformation when we see the rapid enlargement

Conclusions
Findings
Additional files
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call