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Management of intrathoracic benign schwannomas of the brachial plexus.

Bandiera A, Negri G, Melloni G, Mandelli C, Gerevini S, Carretta A, Ciriaco P, Puglisi A, Zannini P - Case Rep Surg (2014)

Bottom Line: In the second case the tumour presented as a cervicomediastinal lesion and it was resected through a one-stage combined supraclavicular incision followed by left video-assisted thoracoscopic surgery.A brachial plexus tumour should be suspected not only in patients with a supraclavicular or cervicomediastinal mass but also in those with intrathoracic apical lesions.A preoperative magnetic resonance imaging study of brachial plexus should be performed in such cases in order to plan the correct surgical approach.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, Italy.

ABSTRACT
Primary tumours of the brachial plexus are rare entities. They usually present as extrathoracic masses located in the supraclavicular region. This report describes two cases of benign schwannomas arising from the brachial plexus with an intrathoracic growth. In the first case the tumour was completely intrathoracic and it was hardly removed through a standard posterolateral thoracotomy. In the second case the tumour presented as a cervicomediastinal lesion and it was resected through a one-stage combined supraclavicular incision followed by left video-assisted thoracoscopic surgery. A brachial plexus tumour should be suspected not only in patients with a supraclavicular or cervicomediastinal mass but also in those with intrathoracic apical lesions. A preoperative magnetic resonance imaging study of brachial plexus should be performed in such cases in order to plan the correct surgical approach.

No MeSH data available.


Related in: MedlinePlus

CT scan (CT) (axial view) showing a well-circumscribed, encapsulated ovoid mass, measuring approximately 5 cm, located in proximity to the right thoracic outlet.
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fig1: CT scan (CT) (axial view) showing a well-circumscribed, encapsulated ovoid mass, measuring approximately 5 cm, located in proximity to the right thoracic outlet.

Mentions: A 45-year-old man was admitted to our department of thoracic surgery for a suspected intrathoracic tumour which was found by chance after a chest radiograph for a persistent cough. Subsequent computed tomographic (CT) scan showed a well-circumscribed, ovoid mass, measuring approximately 5 cm, located close to the right thoracic outlet (Figure 1, axial view). Differential diagnosis included a neurogenic thoracic lesion and a primitive lung cancer. The patient was submitted to surgery for diagnostic and therapeutic purposes.


Management of intrathoracic benign schwannomas of the brachial plexus.

Bandiera A, Negri G, Melloni G, Mandelli C, Gerevini S, Carretta A, Ciriaco P, Puglisi A, Zannini P - Case Rep Surg (2014)

CT scan (CT) (axial view) showing a well-circumscribed, encapsulated ovoid mass, measuring approximately 5 cm, located in proximity to the right thoracic outlet.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129927&req=5

fig1: CT scan (CT) (axial view) showing a well-circumscribed, encapsulated ovoid mass, measuring approximately 5 cm, located in proximity to the right thoracic outlet.
Mentions: A 45-year-old man was admitted to our department of thoracic surgery for a suspected intrathoracic tumour which was found by chance after a chest radiograph for a persistent cough. Subsequent computed tomographic (CT) scan showed a well-circumscribed, ovoid mass, measuring approximately 5 cm, located close to the right thoracic outlet (Figure 1, axial view). Differential diagnosis included a neurogenic thoracic lesion and a primitive lung cancer. The patient was submitted to surgery for diagnostic and therapeutic purposes.

Bottom Line: In the second case the tumour presented as a cervicomediastinal lesion and it was resected through a one-stage combined supraclavicular incision followed by left video-assisted thoracoscopic surgery.A brachial plexus tumour should be suspected not only in patients with a supraclavicular or cervicomediastinal mass but also in those with intrathoracic apical lesions.A preoperative magnetic resonance imaging study of brachial plexus should be performed in such cases in order to plan the correct surgical approach.

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, Italy.

ABSTRACT
Primary tumours of the brachial plexus are rare entities. They usually present as extrathoracic masses located in the supraclavicular region. This report describes two cases of benign schwannomas arising from the brachial plexus with an intrathoracic growth. In the first case the tumour was completely intrathoracic and it was hardly removed through a standard posterolateral thoracotomy. In the second case the tumour presented as a cervicomediastinal lesion and it was resected through a one-stage combined supraclavicular incision followed by left video-assisted thoracoscopic surgery. A brachial plexus tumour should be suspected not only in patients with a supraclavicular or cervicomediastinal mass but also in those with intrathoracic apical lesions. A preoperative magnetic resonance imaging study of brachial plexus should be performed in such cases in order to plan the correct surgical approach.

No MeSH data available.


Related in: MedlinePlus