Resection of a schwannoma originating from vagus nerve in the right superior mediastinum

J Cardiothorac Surg. 2023 Feb 10;18(1):69. doi: 10.1186/s13019-023-02177-6.

Abstract

Background: Schwannoma is the most common mediastinal neurogenic tumor, while schwannoma originating from mediastinal vagus nerve is rare.

Case presentation: This article reported one case of schwannoma originating from vagus nerve in the right superior mediastinum. The mediastinal schwannoma was completely resected through a right-sided video-assisted thoracoscopic thoracotomy. Histologic examination clarified the diagnosis as schwannoma.

Conclusion: Chest CT scan and MRI can be used to determine the location of mediastinal schwannoma and its relationship with adjacent tissue. Histologic examination showing distinctive feature of Antoni A areas and Antoni B areas can help clarify the diagnosis. Complete surgical resection is the first-line treatment option for mediastinal schwannomas.

Keywords: Mediastinal neurogenic tumor; Schwannoma; Vagus nerve.

Publication types

  • Case Reports

MeSH terms

  • Cranial Nerve Neoplasms* / diagnostic imaging
  • Cranial Nerve Neoplasms* / surgery
  • Humans
  • Mediastinal Neoplasms* / diagnostic imaging
  • Mediastinal Neoplasms* / surgery
  • Mediastinum / diagnostic imaging
  • Mediastinum / pathology
  • Mediastinum / surgery
  • Neurilemmoma* / diagnostic imaging
  • Neurilemmoma* / surgery
  • Vagus Nerve / pathology
  • Vagus Nerve / surgery