Abstract

Esophageal schwannomas are rare primary sub mucosal tumors, 45 cases have been reported so far. We herein report the 46th case of an esophageal schwannoma from Nepal. A 60-year-old woman presented with progressivedysphagia. Oesophago-Gastro-Duodenoscopy (OGD) showed a sub mucosal mass with mucosal puckering in the upper esophagus; Computed tomography (CT) of the chest showed an upper esophageal mass of size 8x7x6cm3compressing the trachea. Bronchoscopy showed external compression of the mid trachea. The patient under went three incision VATS esophagectomy. Histopathological examination and immunohistochemical (IHC) staining confirmed the diagnosis of schwannoma.

Highlights

  • Esophageal schwannomas are rare primary submucosal tumors (ESMTs)

  • These ESMTs are difficult to diagnose preoperatively and the final diagnosis is often made after surgery and IHC staining.[2]

  • We here report a case of large upper esophageal schwannoma which was managed by video-assisted thoracoscopic surgery (VATS)-esophagectomy and a review of previously reported cases in the literature till date has been done

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Summary

Introduction

Esophageal schwannomas are rare primary submucosal tumors (ESMTs). Benign esophageal tumor accounts for approximately 2% of all esophageal tumors; more than 80% are leiomyomas.[1,2] These ESMTs are difficult to diagnose preoperatively and the final diagnosis is often made after surgery and IHC staining.[2]We here report a case of large upper esophageal schwannoma which was managed by video-assisted thoracoscopic surgery (VATS)-esophagectomy and a review of previously reported cases in the literature till date has been done.was unremarkable. Esophageal schwannomas are rare primary submucosal tumors (ESMTs). Benign esophageal tumor accounts for approximately 2% of all esophageal tumors; more than 80% are leiomyomas.[1,2] These ESMTs are difficult to diagnose preoperatively and the final diagnosis is often made after surgery and IHC staining.[2] We here report a case of large upper esophageal schwannoma which was managed by video-assisted thoracoscopic surgery (VATS)-esophagectomy and a review of previously reported cases in the literature till date has been done.

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