• Title/Summary/Keyword: Malignant schwannoma

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A Case of Cervico-Thoracic Malignant Schwannoma with Lung Metastasis (폐전이를 보인 경-흉추 이행부 악성 신경초종 1례 - 증 례 보 고 -)

  • Park, Kyung Bum;Hwang, Soo Hyun;Kim, Joon Soo;Kim, Ki Jeong;Park, In Sung;Kim, Eun-Sang;Jung, Jin-Myung;Han, Jong Woo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.11
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    • pp.1332-1335
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    • 2001
  • Acase of malignant schwannoma in the cervico-thoracic region with lung metastasis is presented. The patient was 55-year-old man presented with right arm weakness. Magnetic resonance image demonstrated lobulated enhancing soft tissue masses in spinal canal, neural foramen and right paraspinal space at C7-T1 level compressing the dural sac and spinal cord. Subtotal removal was performed and histological diagnosis of malignant schwannoma was made. Reoperation due to recurrence was done but subsequent metastasis to lung was observed.

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Malignant Schwannoma on the Right Chest Wall -1 Case Report- (흉벽에 발생한 악성 신경초종 -1례 보고-)

  • 황의두;황경환
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1051-1053
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    • 1997
  • Malignant schwannoma is rare tumor which is derived from schwas cells or nerve sheath cells, and it is frequently associated with Von Rechlinghausen's disease. We experienced one case of malignant schwannoma on the right chest wall without Von Rechlinghausen's disease. Patient was 64-year-old man who presented painless palpable mass on the right lower -chest wall for about 2 months. On chest computed tomography, the mass which was 6$\times$6 cm in size and had central necrosis, involved 11th rib with destruction, invaded the diaphragm and displaced the kidney anteriorlly. He underwent on-bloc resection of the tumor and discharged without any problem after 20 days.

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Vestibular Schwannoma Atypically Invading Temporal Bone

  • Park, Soo Jeong;Yang, Na-Rae;Seo, Eui Kyo
    • Journal of Korean Neurosurgical Society
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    • v.57 no.4
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    • pp.292-294
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    • 2015
  • Vestibular schwannoma (VS) usually present the widening of internal auditory canal (IAC), and these bony changes are typically limited to IAC, not extend to temporal bone. Temporal bone invasion by VS is extremely rare. We report 51-year-old man who revealed temporal bone destruction beyond IAC by unilateral VS. The bony destruction extended anteriorly to the carotid canal and inferiorly to the jugular foramen. On histopathologic examination, the tumor showed typical benign schwannoma and did not show any unusual vascularity or malignant feature. Facial nerve was severely compressed and distorted by tumor, which unevenly eroded temporal bone in surgical field. Vestibular schwannoma with atypical invasion of temporal bone can be successfully treated with combined translabyrinthine and lateral suboccipiral approach without facial nerve dysfunction. Early detection and careful dissection of facial nerve with intraoperative monitoring should be considered during operation due to severe adhesion and distortion of facial nerve by tumor and eroded temporal bone.

Solitary schwannoma of the ascending colon

  • Chu, Myeong Su;Kang, Hyun Mo;Sun, Hyeong Ju;Kim, Dong Min;Kwak, Hyong Jong
    • Journal of Yeungnam Medical Science
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    • v.33 no.1
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    • pp.37-39
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    • 2016
  • Schwannomas are uncommon neoplasms arising from Schwann cells of the neural sheath. Gastrointestinal schwannomas are rare, accounting for 1% of all malignant gastrointestinal tumors. Colonoscopic biopsy with immunohistochemical (IHC) staining is useful for confirming this tumor. We report on a patient with schwannoma arising from the ascending colon, which was detected by colonoscopy and endoscopic submucosal dissection was attempted. A 41-year-old man presented with abdominal discomfort. The patient was diagnosed with a subepithelial tumor on colonoscopy. He underwent endoscopic submucosal dissection. Histopathology and IHC staining confirmed that the colonic lesion was a benign schwannoma. However, the resection margin was positive. Therefore, laparoscopic ileocolectomy was performed.

Submucosal Schwannoma of Tongue: A Case Report and Brief Review of Literature (혀의 점막하에 발생한 신경초종 환자의 치험례)

  • Park, Sung Won;Jeon, Jae Ho;Park, Joo Yong;Choi, Sung Weon;Kim, Soo Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.480-483
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    • 2012
  • Schwannoma is a benign, slow-growing, tumor of the peripheral nerves without specific symptoms, so that early diagnosis may be difficult. Though approximately 25~40% of all schwannomas occur extracranially in the head and neck region, only 1% of schwannomas are reported in the oral cavity. An 18-years-old female patient visited our clinic with a mass on the middle-right-dorsal surface of the tongue slowly growing for 1.5 years. The patient underwent the surgical removal of the neoplasia under general anesthesia. The mass was well capsulated and a cleavage plane was easily found. There was no recidivation during the course of a one-year follow-up. The treatment for schwannoma is surgical excision of the lesion and recurrence after excision of schwannoma is rare. The final diagnosis is made after a histological examination. Differential diagnoses must be made in relation to malignant tumors and in relation to numerous benign neoformations based on epithelial and connective tissues.

Diagnosis and Treatment of Neurogenic Tumors in the Head and Neck (두경부 신경성 종양의 진단과 치료)

  • Kim Seong-Rae;Oh Sang-Hoon;Kim Sang-Hyo
    • Korean Journal of Head & Neck Oncology
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    • v.12 no.2
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    • pp.161-168
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    • 1996
  • The neuorogenic tumor is known to be originated from neural crest, and the involved cells are Schwann cell, ganglion cell, and paraganglion cell. The Schwannoma, neurofibroma, and malignant schwannoma arise from the schwann cell, ganglioneuroma is from ganglion cell, and carotid body tumor and glomus tumor are originated from paraganglion cell. Authors reviewed thirty-eight patients of the neurogenic tumors in the head and neck, excluding intracranial tumor and Von-Recklinghausen disease, surgically treated at the Department of Surgery, Pusan Paik Hospital from January 1981 to May 1996. Of the 38 cases, 28 cases were schwannoma, 6 cases neurofibroma, 2 cases malignant schwannoma, and 2 cases paraganglioma. These tumors occurred at any age, but the majority of patients occurred in the fourth decade of life. There was female preponderance (M : F=1 : 1. 53) in sex ratio. The lateral cervical region was the most common distribution. 12 cases arose from the anterior triangle of neck, and 12 cases from the posterior triangle of neck. The major nerve origin of tumor could be identified in 30 cases (80%). 11 cases were treated by simple excision, and partial excision was 3 cases. Excision with parotidectomy 1 case, enucleation 11 cases, enucleation with parotidectomy 7 cases, radical neck dissection 1 cases, upper neck dissection 2 cases, suprahyoid dissection 1 case, Caldwell­Luc operation 1 case. The postoperative complications were hoarseness (2 cases), facial palsy (1 case), Homer syndrome (1 case), and hypoesthesia of tongue (1 case).

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Ancient Schwannoma Misdiagnosed as a Hemangioma in the Ventral Tongue

  • Lee, Sun Jae;Kim, Yongsoo;Leem, Dae Ho;Baek, Jin A;Shin, Hyo Keun;Ko, Seung O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.402-407
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    • 2013
  • Schwannomas originate from the Schwann cells in the neural sheath of the peripheral nerves. Ancient schwannoma is one of five variants, and its characteristics include histopathological degeneration and diffuse hypocellular areas. Histopathological features show degenerative changes and atypical nuclei can easily be confused with malignant neoplasms. These cellular atypisms are caused solely by degenerative changes. Ancient schwannomas have been reported 17 cases of in the oral cavity and five cases in the ventral tongue, including the floor of the mouth. We report a new case of an ancient schwannoma, misdiagnosed as a hemangioma with a 10-year evolution, located in the ventral tongue of a 29-year-old female.

A Case of Giant, Benign Schwannoma Associated with Total Lung Collapse by Bloody Effusion

  • Jang, Ju Young;Kim, Jin Se;Choe, Ju Won;Kim, Mi Kyung;Jung, Jae Woo;Choi, Jae Chol;Shin, Jong Wook;Park, In Won;Choi, Byoung Whui;Kim, Jae Yeol
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.2
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    • pp.71-74
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    • 2013
  • Benign schwannoma is the most common neurogenic tumor in the mediastinum. Mediastinal benign schwannomas are most often asymptomatic and rarely accompanied by bloody pleural effusion. In the clinical analysis of 7 cases of pulmonary schwannomas, pleural effusion, and blood invasion were evident in 3 patients with malignant schwannoma. Herein, we report a rare case of giant, benign schwannoma presented with total collapse of right lung by massive, bloody pleural effusion.