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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

((a) and (b)) Axial and sagittal view. MRI of brachial plexus showing a well-circumscribed encapsulated tumor arising from the left brachial plexus.
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fig3: ((a) and (b)) Axial and sagittal view. MRI of brachial plexus showing a well-circumscribed encapsulated tumor arising from the left brachial plexus.

Mentions: A 48-year-old female was admitted to our department of thoracic surgery for a left apical lesion which was found by chance after a routine chest X-ray. The CT scan and magnetic resonance imaging (MRI) of the brachial plexus showed a well-circumscribed tumour located in the superior posterior mediastinum with extension into lower cervical region (Figures 3(a) and 3(b), axial and sagittal view). The mass measured 6.5 cm × 4.5 cm. A dedicated brachial plexus MRI protocol clearly showed the neural origin of the tumour, without sign of infiltration and with an extraclavicular growth into thoracic region.


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)

((a) and (b)) Axial and sagittal view. MRI of brachial plexus showing a well-circumscribed encapsulated tumor arising from the left brachial plexus.
© Copyright Policy
Related In: Results  -  Collection

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

fig3: ((a) and (b)) Axial and sagittal view. MRI of brachial plexus showing a well-circumscribed encapsulated tumor arising from the left brachial plexus.
Mentions: A 48-year-old female was admitted to our department of thoracic surgery for a left apical lesion which was found by chance after a routine chest X-ray. The CT scan and magnetic resonance imaging (MRI) of the brachial plexus showed a well-circumscribed tumour located in the superior posterior mediastinum with extension into lower cervical region (Figures 3(a) and 3(b), axial and sagittal view). The mass measured 6.5 cm × 4.5 cm. A dedicated brachial plexus MRI protocol clearly showed the neural origin of the tumour, without sign of infiltration and with an extraclavicular growth into thoracic region.

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