Primary Melanotic Schwannoma with Typical Histology

J Coll Physicians Surg Pak. 2016 Aug;26(8):707-9.

Abstract

We present a case of a 17-year male with a soft tissue density spreading from the neural foramina (T3) of the spinal cord and involving the right upper thoracic cavity. We managed the patient through surgical intervention and resected the complete tumor. Gross definition and microscopic findings of the resected tissue revealed the definitive diagnosis of melanotic schwannoma. The histological characteristics in this case were very specific and harbour an important diagnostic clue for this rare disease. Malignant melanoma was ruled out on the basis of histological findings. The patient recovered completely and was healthy on one-year follow-up.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Humans
  • Male
  • Neurilemmoma / diagnosis
  • Neurilemmoma / surgery*
  • Neuroectodermal Tumor, Melanotic / diagnosis
  • Neuroectodermal Tumor, Melanotic / surgery*
  • Spinal Cord Neoplasms / diagnosis
  • Spinal Cord Neoplasms / surgery*
  • Spinal Nerve Roots / surgery*
  • Subdural Space / pathology
  • Subdural Space / surgery
  • Thoracic Vertebrae
  • Thoracotomy
  • Treatment Outcome