Pre-operative embolization, surgical resection, and follow-up evaluation of a giant intercostal schwannoma

Mason A Brown; JiaHao Hu; William Tisol; Paul Grebe; Matthew Howenstein

doi:10.1016/j.clinimag.2022.02.026

Pre-operative embolization, surgical resection, and follow-up evaluation of a giant intercostal schwannoma

Clin Imaging. 2022 May:85:74-77. doi: 10.1016/j.clinimag.2022.02.026. Epub 2022 Feb 28.

Authors

Mason A Brown¹, JiaHao Hu¹, William Tisol², Paul Grebe¹, Matthew Howenstein¹

Affiliations

¹ Aurora St. Luke's Medical Center, Departments of Interventional and Diagnostic Radiology, Milwaukee, WI, United States of America.
² Aurora St. Luke's Medical Center, Departments of Cardiothoracic and Thoracic Surgery, Milwaukee, WI, United States of America.

PMID: 35248891
DOI: 10.1016/j.clinimag.2022.02.026

Abstract

Intercostal schwannomas can present incidentally and lead to compressive thoracic symptoms. These slow-growing and benign tumors typically arise from intercostal nerves and are supplied by intercostal arteries, which may increase the risk of hemorrhagic complications with surgical resection. Due to the rarity of intercostal schwannomas, there exists no standardized management algorithms. Pre-operative angiography and embolization can supplement surgical thoracotomy and resection by decreasing intra-operative hemorrhage and minimizing the risk of anterior spinal cord hypoperfusion.

Keywords: Angiography; Coil embolization; Intercostal schwannoma; Posterior mediastinal mass; Thoracotomy.

MeSH terms

Angiography
Embolization, Therapeutic*
Follow-Up Studies
Humans
Neurilemmoma* / diagnostic imaging
Neurilemmoma* / surgery
Thoracotomy