Giant esophageal schwannoma, a diagnosis by exclusion: Case report
DOI:
https://doi.org/10.22516/25007440.516Keywords:
Schwannoma, Neurilemoma, Primary esophageal tumor, Esophagus, Case reportAbstract
Introduction: Esophageal schwannomas are tumors of the perineural components of the Schwann cell nerve
sheath in peripheral nerves and account for 2% of primary esophageal tumors. Its low incidence makes
diagnosis challenging; however, this etiology should be considered because its clinical and imaging behavior
is rapidly progressive and unusual compared to other benign esophageal tumors.
Case study: A 38-year-old female patient with a 1-year history of dysphagia underwent upper digestive tract endoscopy and contrast chest CT showing a mass at the cervical and transmural thoracic esophagus level, obstructing the lumen and exerting a mass effect on the trachea. A biopsy revealed a spindle cell tumor with positive immunohistochemistry for the S100 marker, leading to the diagnosis of esophageal Schwannoma. The patient is currently undergoing regular check-ups and is awaiting the advice of a clinical oncologist to recommend non-surgical treatment options due to the involvement of adjacent structures.
Conclusion: The first diagnostic impression in the case of a suspected primary esophageal tumor would be a leiomyoma based on its incidence. The present case report of an esophageal schwannoma emphasizes that this is a differential diagnosis that requires timely treatment to avoid complications and sequelae in patients.
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References
Brunicardi FC, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE, Wu JX. Schwartz. Principios de cirugía. Autoevaluación y repaso. 10.a edición. Mc-Graw Hill; 2010.
Kitada M, Matsuda Y, Hayashi S, Ishibashi K, Oikawa K, Miyokawa N. Esophageal schwannoma: a case report. World J Surg Oncol. 2013;11:253. https://doi.org/10.1186/1477-7819-11-253
Zhu L, Li W, Zhu Z, Chai Y. Benign esophageal schwannoma: A case report and review of literature. Niger J Clin Pract. 2019;22(5):731-733. https://doi.org/10.4103/njcp.njcp_142_18
Kobayashi N, Kikuchi S, Shimao H, Hiki Y, Kakita A, Mitomi H, Ohbu M. Benign esophageal schwannoma: report of a case. Surg Today. 2000;30(6):526-9. https://doi.org/10.1007/s005950070120
Morales-Maza J, Pastor-Sifuentes FU, Sánchez-Morales GE, Ramos ES, Santes O, Clemente-Gutiérrez U, Pimienta-Ibarra AS, Medina-Franco H. Clinical characteristics and surgical treatment of schwannomas of the esophagus and stomach: A case series and systematic review. World J Gastrointest Oncol. 2019;11(9):750-760. https://doi.org/10.4251/wjgo.v11.i9.750
Souza LCA, Pinto TDA, Cavalcanti HOF, Rezende AR, Nicoletti ALA, Leão CM, Cunha VC. Esophageal schwannoma: Case report and epidemiological, clinical, surgical and immunopathological analysis. Int J Surg Case Rep. 2019;55:69-75. https://doi.org/10.1016/j.ijscr.2018.10.084
Souza LCA, Pinto TDA, Cavalcanti HOF, Rezende AR, Nicoletti ALA, Leão CM, Cunha VC. Esophageal schwannoma: Case report and epidemiological, clinical, surgical and immunopathological analysis. Int J Surg Case Rep. 2019;55:69-75. https://doi.org/10.1016/j.ijscr.2018.10.084
Zhang Y, Han Y, Xiang J, Li H. Robot-assisted enucleation of large dumbbell-shaped esophageal schwannoma: a case report. BMC Surg. 2018;18(1):36. https://doi.org/10.1186/s12893-018-0370-y
Quintero Rivera JC, Arias Morales Y, Carcacía Hermilla I, Prieto Casal PL, Armesto Fernandez MJ, Ourense ES. Schwannomas extracraneales. Hallazgos radiológicos y diagnóstico diferencial. Congreso Nacional de la Sociedad de Radiología Española 2012. Granada; 2012.
Park BJ, Carrasquillo J, Bains MS, Flores RM. Giant benign esophageal schwannoma requiring esophagectomy. Ann Thorac Surg. 2006;82(1):340-2. https://doi.org/10.1016/j.athoracsur.2005.09.042
Wang S, Zheng J, Ruan Z, Huang H, Yang Z, Zheng J. Long-term survival in a rare case of malignant esophageal schwannoma cured by surgical excision. Ann Thorac Surg. 2011;92(1):357-8. https://doi.org/10.1016/j.athoracsur.2011.01.045
Mishra B, Madhusudhan KS, Kilambi R, Das P, Pal S, Srivastava DN. Malignant Schwannoma of the Esophagus: A Rare Case Report. Korean J Thorac Cardiovasc Surg. 2016;49(1):63-6. https://doi.org/10.5090/kjtcs.2016.49.1.63
Walker C, Chung J. Muller’s Imaging of the Chest. 2.a edición. Elsevier; 2018.
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