Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

Two Cases of Benign Solitary Schwannoma with Pleural Effusion

흉수를 동반한 양성 고립자 신경초종 2예

  • Cho, Jin-Hoon (Department of Internal Medicine, Pusan National University College of Medicine) ;
  • Kim, Ki Uk (Department of Internal Medicine, Pusan National University College of Medicine) ;
  • Park, Hye-Kyung (Department of Internal Medicine, Pusan National University College of Medicine) ;
  • Jeong, Yeon Joo (Department of Diagnostic Radiology, Pusan National University College of Medicine) ;
  • Kim, Young Dae (Department of Thoracic Surgery, Pusan National University College of Medicine) ;
  • Kim, Yun Seong (Department of Internal Medicine, Pusan National University College of Medicine) ;
  • Lee, Min Ki (Department of Internal Medicine, Pusan National University College of Medicine) ;
  • Park, Soon Kew (Department of Internal Medicine, Pusan National University College of Medicine)
  • 조진훈 (부산대학교 의과대학 내과학교실) ;
  • 김기욱 (부산대학교 의과대학 내과학교실) ;
  • 박혜경 (부산대학교 의과대학 내과학교실) ;
  • 정연주 (부산대학교 의과대학 진단방사선과학교실) ;
  • 김영대 (부산대학교 의과대학 흉부외과학교실) ;
  • 김윤성 (부산대학교 의과대학 내과학교실) ;
  • 이민기 (부산대학교 의과대학 내과학교실) ;
  • 박순규 (부산대학교 의과대학 내과학교실)
  • Received : 2007.05.03
  • Accepted : 2007.06.15
  • Published : 2007.07.30
Download PDF
⟨ Previous Next ⟩

Abstract

Schwannoma represents approximately 40% of neurogenic tumors arising in the mediastinum, and develops along the sympathetic or parasympathetic chain, intercostals nerve, and spinal ganglia. It is usually asymptomatic, and is confronted accidentally but can produce chest pain, cough and dyspnea. However, dyspnea with pleural effusion is rare in patients with benign schwannoma. We encountered two cases of benign schwannoma with pleural effusion. Both cases had similar initial symptoms and the characteristics of a mass but the characteristics of pleural effusion analysis were different. The benign schwannoma was confirmed in two cases using VATS (video-assisted tharawswpic surgery).

대개 양성 고립성 신경초종의 경우 무증상으로 우연히 발견되며, 흉수로 인한 호흡곤란을 동반하는 증례는 매우 드물다. 저자들은 호흡곤란과 흉통을 주소로 내원하여 흉수를 동반한 양성 고립성 신경초종으로 진단된 2예를 경험하였기에 보고하는 바이다.

Keywords

References

  1. Kim H, Yang JM, Chung KC, Kim YH, Kang JH, Chung WS. Spontaneous hemothorax in a patient with posterior mediastinal neurilemmoma: a case report. Korean J Thorac Cardiovase Surg 2004;37:1019-21
  2. Das Gupta TK, Brasfield RD, Strong EW, Hajdu SI. Benign solitary Schwannoma (neurilemomas). Cancer 1969;24:355-66 https://doi.org/10.1002/1097-0142(196908)24:2<355::AID-CNCR2820240218>3.0.CO;2-2
  3. Bozkurt AK. Schwannoma as a cause of Pancoast's syndrome. Intern Med J 2002;32:108-9 https://doi.org/10.1046/j.1445-5994.2002.00174.x
  4. Moinuddeen K, Baltzer JW, Zama N. Diaphragmatic eventration: an uncommon presentation of a phrenic nerve schwannoma. Chest 2001;119:1615-6 https://doi.org/10.1378/chest.119.5.1615
  5. Kim DY, Cho CH, Ahn CM, Sohn HY. A case of benign solitary schwannoma of the chest wall. Korean J Med 1987;33:119-23
  6. Kwon YS, Koh WJ, Kim HJ, Han JH, Lee KS, Shim YM Two cases of Endobronchial Neurilemmoma and Review of the Literature in Korea. Tuberc Respir Dis 2007;62:129-33 https://doi.org/10.4046/trd.2007.62.2.129
  7. Kim HG, Park SJ, Kwon SH, Hong SJ, Lee JS, Lee MS, et al. A case of schwannoma induced stenosis of superior mesenteric artery. Korean J Med 2004;66:86-90
  8. Tanita T, Ohkuda K, Nitta S, Hashimoto K, Nakada T. A case of intrathoracic neurinoma presenting as hemothorax. Nihon Kyobu Shikkan Gakkai Zasshi 1981;19:127-30
  9. Lee MH, Graham AN, Nicholson AG, Pastorino U. Solitary cellular schwannoma presenting with haemo-thorax. J R. Soc Med 1998;91:596-7 https://doi.org/10.1177/014107689809101115
  10. Ishibashi H, Akamatsu H, Sunamori M, Komori H, Shirasawa S. A case of giant dumbbell shaped schwannoma with massive pleural effusion. Kyobu Geka 2001;54:742-6
  11. Janowitz P, Meier F, Reisig J. Gastric schwannoma as a rare differential diagnosis of pleural effusion. Z Gastroenterol 2002;40:925-8 https://doi.org/10.1055/s-2002-35416