Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T23:58:56.543Z Has data issue: false hasContentIssue false
  • English
  • Français

Ancient schwannoma of the oesophagus presenting with stridor: case report

Published online by Cambridge University Press:  20 May 2009

M George ,
A M Augustine ,
J Mathew ,
V T Cherian  and
V K Cherian
M George*
Affiliation:
Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
A M Augustine
Affiliation:
Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
J Mathew
Affiliation:
Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
V T Cherian
Affiliation:
Department of Anaesthesia, Christian Medical College, Vellore, Tamil Nadu, India
V K Cherian
Affiliation:
Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu, India
*
Address for correspondence: Dr Mercy George, Unit II, Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India632 004. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We report a rare presentation of ancient schwannoma of the oesophagus, management of which required tracheal resection.

Case report:

A 40-year-old woman was referred to our hospital with a six-year history of progressively worsening stridor. She had undergone laser excision of a tracheal tumour thrice in the past. Fibre-optic bronchoscopy showed a tumour arising from the posterior wall of the trachea. Computed tomography scanning showed evidence of extension along the retrotracheal plane. The patient required tracheal resection and anastomosis due to significant involvement of the posterior tracheal wall. The mass was seen to be arising from the oesophagus, and was able to be enucleated from the oesophageal wall. Histopathology was typical of an ancient schwannoma.

Conclusion:

This case emphasises the need to consider oesophageal schwannomas in the differential diagnosis of posterior tracheal tumours; it also highlights the need for careful pre-operative assessment in the management of these tumours in order to avoid complications.

Keywords

Oesophageal NeoplasmsSchwannomaNeurilemmomaTrachea
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 12 , December 2009 , pp. 1384 - 1386
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Ackerman, LV, Taylor, FH. Neurogenic tumours within the thorax. a clinicopathological evaluation of forty-eight cases. Cancer 1951;4:669–913.0.CO;2-B>CrossRefGoogle Scholar
2Jayaraj, SM, Levine, T, Frosh, AC, Almeyda, JS. Ancient schwannoma masquerading as parotid pleomorphic adenoma. J Laryngol Otol 1997;111:1088–90CrossRefGoogle ScholarPubMed
3Dayan, D, Buchner, A, Hirschberg, A. Ancient neurilemmoma (schwannoma) of the oral cavity. J Craniomaxillofac Surg 1989;17:280–2CrossRefGoogle ScholarPubMed
4Chatelin, CL, Fissore, A. Ancient schwannoma of the esophagus [in French]. Confront Radio Anat Clin 1967;7:114Google Scholar
5Basoglu, A, Celik, B, Sengul, TA, Yildiz, L. Esophageal schwannoma. J Thoracic Cardiovasc Surg 2006;131:493–5CrossRefGoogle ScholarPubMed
6Park, BJ, Carrasquillo, J, Bains, MS, Flores, RM. Giant benign oesophageal schwannoma requiring oesophagectomy. Ann Thorac Surg 2006;82:340–2CrossRefGoogle Scholar
7Mizuguchi, S, Inoue, K, Imagawa, A, Kitano, Y, Kameyama, M, Ueda, H et al. Benign esophageal schwannoma compressing the trachea in pregnancy. Ann Thorac Surg 2008;85:660–2CrossRefGoogle ScholarPubMed
8Chen, HC, Huang, HJ, Wu, CY, Lin, TS, Fang, HY. Oesophageal schwannoma with tracheal compression. J Thorac Cardiovasc Surg 2006;54:555–8CrossRefGoogle ScholarPubMed
9Rusch, VW, Schmidt, RA. Tracheal schwannoma: management by endoscopic laser resection. Thorax 1994;49:85–6CrossRefGoogle ScholarPubMed
10Horovitz, AW, Khalil, KG, Verani, RR, Guthric, AM, Cowan, DF. Primary intratracheal neurilemmoma. J Thorac Cardiovasc Surg 1983;85:313–20CrossRefGoogle Scholar