Giant Neurilemmoma of Mediastinum: A Case Report and Literature Review_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

ZANG Pu ¹ , ZHANG Jingxi ² , HAN Yiping ² , YANG Lixin ³ , LI Qiang. ²

Department of Cardiology, Changhai Hospital Affiliated to Second Military Medical University. Shanghai, 200433, ChinaCorresponding Author: HAN Yi-ping, E-mail: yphan2006@ yahoo. com. cn;

Corresponding author：

Keywords：

Mediastinum; Neurilemmoma; Diagnosis

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To describe a case of giant asymptomatic neurilemmoma of mediastinum. Methods The clinical, radiographic and pathological characteristics of a patient admitted to Changhai Hospital Affiliated to Second MilitaryMedical University in May 2009 presenting with large shadow on chest radiograph was analyzed, and related literature was reviewed. Results Radiographic examination revealed a large mass occupying the right thoracic cavity. Then the pathological issue was obtained by
percutaneous CT-guided needle biopsy. Neurilemmoma was proved by pathological study. Conclusions The low morbidity of giant neurilemmoma of mediastinum, with most of the cases remaining asymptomatic, is prone to misdiagnosis. The large mediastinal mass in the thoracic cavity increases the risk of thoracotomy. It can be
pathologically diagnosed through percutaneous image-guided needle biopsy or surgical biopsy.

Citation： ZANG Pu,ZHANG Jingxi,HAN Yiping,YANG Lixin,LI Qiang.. Giant Neurilemmoma of Mediastinum: A Case Report and Literature Review. Chinese Journal of Respiratory and Critical Care Medicine, 2010, 9(1): 73-75. doi: Copy

1.	王建睿, 周红艳, 赵秀英. 左侧后上纵隔巨大神经纤维瘤一例.中国胸心血管外科临床杂志, 2007, 14: 200.
2.	李强, 张峻, 李祚雯, 等. 膈肌巨大神经纤维瘤一例. 放射学实践, 2006, 21: 973.
3.	王述波, 曹洪春, 郝长城. 叶间胸膜神经纤维瘤1 例. 中华胸心血管外科杂志, 2001, 17: 134.
4.	Strollo DC, Rosado-de-Christenson ML, Jett JR. Primary mediastinal tumors: part Ⅱ . Tumors of the middle and posterior mediastinum. Chest, 1997, 112: 1344-1357.
5.	Takeda S, Miyoshi S, Minami M, et al. Intrathoracic neurogenic tumors--50 years ’ experience in a Japanese institution. Eur J Cardiothorac Surg, 2004, 26: 807-812.
6.	Cardillo G, Carleo F, Khalil MW, et al. Surgical treatment of benign neurogenic tumours of the mediastinum: a single institution report. Eur J Cardiothorac Surg, 2008, 34: 1210-1214.
7.	Saenz NC, Schnitzer JJ, Eraklis AE, et al. Posterior mediastinal masses. J Pediatr Surg, 1993, 28: 172-176.
8.	Date H. Diagnostic strategies for mediastinal tumors and cysts. Thorac Surg Clin, 2009, 19 : 29 -35.
9.	朱卫国, 蒋宾, 张勋柱, 等. 巨大后纵隔神经纤维瘤1 例. 泸州医学院院报, 2005, 28: 50.
10.	吕军吉, 王丽冰. 巨大纵隔肿瘤术中特殊处理. 肿瘤防治研究, 2005, 32: 567-568.
11.	孙铁伟, 葛洪刚, 于伟, 等. 后纵隔良性神经源性肿瘤的胸腔镜手术治疗. 航空航天医药, 2008, 19: 24-25.
12.	Catalano MF, Rosenblatt ML, Chak A, et al. Endoscopic ultrasoundguided fine needle aspiration in the diagnosis of mediastinal masses of unknown origin. Am J Gastroenterol, 2002, 97: 2559-2565.

1. 王建睿, 周红艳, 赵秀英. 左侧后上纵隔巨大神经纤维瘤一例.中国胸心血管外科临床杂志, 2007, 14: 200.
2. 李强, 张峻, 李祚雯, 等. 膈肌巨大神经纤维瘤一例. 放射学实践, 2006, 21: 973.
3. 王述波, 曹洪春, 郝长城. 叶间胸膜神经纤维瘤1 例. 中华胸心血管外科杂志, 2001, 17: 134.
4. Strollo DC, Rosado-de-Christenson ML, Jett JR. Primary mediastinal tumors: part Ⅱ . Tumors of the middle and posterior mediastinum. Chest, 1997, 112: 1344-1357.
5. Takeda S, Miyoshi S, Minami M, et al. Intrathoracic neurogenic tumors--50 years ’ experience in a Japanese institution. Eur J Cardiothorac Surg, 2004, 26: 807-812.
6. Cardillo G, Carleo F, Khalil MW, et al. Surgical treatment of benign neurogenic tumours of the mediastinum: a single institution report. Eur J Cardiothorac Surg, 2008, 34: 1210-1214.
7. Saenz NC, Schnitzer JJ, Eraklis AE, et al. Posterior mediastinal masses. J Pediatr Surg, 1993, 28: 172-176.
8. Date H. Diagnostic strategies for mediastinal tumors and cysts. Thorac Surg Clin, 2009, 19 : 29 -35.
9. 朱卫国, 蒋宾, 张勋柱, 等. 巨大后纵隔神经纤维瘤1 例. 泸州医学院院报, 2005, 28: 50.
10. 吕军吉, 王丽冰. 巨大纵隔肿瘤术中特殊处理. 肿瘤防治研究, 2005, 32: 567-568.
11. 孙铁伟, 葛洪刚, 于伟, 等. 后纵隔良性神经源性肿瘤的胸腔镜手术治疗. 航空航天医药, 2008, 19: 24-25.
12. Catalano MF, Rosenblatt ML, Chak A, et al. Endoscopic ultrasoundguided fine needle aspiration in the diagnosis of mediastinal masses of unknown origin. Am J Gastroenterol, 2002, 97: 2559-2565.

Chinese Journal of Respiratory and Critical Care Medicine

Giant Neurilemmoma of Mediastinum: A Case Report and Literature Review

Abstract Full text Figures/Tables Video References Cited by

Format

Content