Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지

A Case of Double Primary Neurilemmoma on Both Chest Wall, One of Them is Bulging to Skin from Intercostal Nerve

양측 가슴벽에 동시에 발생하고 일측의 덩어리는 피부로 진행된 원발성 신경집종 1예

  • Kim, Chul (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Park, Sang Mo (Department of Pathology, Soonchunhyang University College of Medicine) ;
  • Park, Eui Ju (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jung, Eun Jung (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jang, Won Ho (Department of Chest Surgery, Soonchunhyang University College of Medicine) ;
  • Kim, Yang Ki (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Lee, Young Mok (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Ki Up (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Kim, Hyun Zo (Department of Chest Surgery, Soonchunhyang University College of Medicine) ;
  • Hwang, Jung Hwa (Department of Radiology, Soonchunhyang University College of Medicine) ;
  • Jin, So Young (Department of Pathology, Soonchunhyang University College of Medicine) ;
  • Uh, Soo-taek (Department of Internal Medicine, Soonchunhyang University College of Medicine)
  • 김철 (순천향대학교 의과대학 내과학교실) ;
  • 박상모 (순천향대학교 의과대학 병리학교실) ;
  • 박의주 (순천향대학교 의과대학 내과학교실) ;
  • 정은정 (순천향대학교 의과대학 내과학교실) ;
  • 장원호 (순천향대학교 의과대학 흉부외과학교실) ;
  • 김양기 (순천향대학교 의과대학 내과학교실) ;
  • 이영목 (순천향대학교 의과대학 내과학교실) ;
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 김현조 (순천향대학교 의과대학 흉부외과학교실) ;
  • 황정화 (순천향대학교 의과대학 영상의학교실) ;
  • 진소영 (순천향대학교 의과대학 병리학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실)
  • Received : 2008.07.23
  • Accepted : 2008.08.11
  • Published : 2008.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Neurilemmomas are benign nerve sheath tumors derived from Schwann cells that rarely occur in the chest wall. Neurilemmomas of the chest wall are usually solitary lesions that bulge toward the pleural cavity. Neurilemmomas are confirmed histologically based on the presence of Verocay bodies, Antoni A and Antoni B tissue patterns and S-100 protein. Bilateral neurilemmomas in the chest wall are extremely rare, as are those that grow in the subcutaneous tissue but not the pleural area. We report here a case of bilateral chest wall neurilemmomas in which the tumors bulged out to the skin and were palpable.

저자들은 가슴벽의 양측 갈비뼈사이 공간에 발생한 신경집종으로 한쪽의 갈비사이 공간에 발생한 덩어리는 일반적인 신경집종과 달리 피하 방향으로 진행하는 양상을 보였던 양측성 신경집종을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

  1. Weiss SW, Goldblum JR. Schwannoma (neurilemmoma). In: Weiss SW, Goldblum JR, Enzinger FM, editors. Enzinger and Weiss's soft tissue tumor. 4th ed. St. Louis: Mosby; 2001. p. 1146-672.
  2. Kim CR, Moon DC, Kwon KS, Chung TA. Neurilemmoma occurring in the skin and lung. Ann Dermatol 1990;2: 121-5. https://doi.org/10.5021/ad.1990.2.2.121
  3. McClenathan JH, Bloom RJ. Peripheral tumors of the intercostal nerves. Ann Thorac Surg 2004;78:713-4. https://doi.org/10.1016/j.athoracsur.2003.09.022
  4. Sakurai H, Hada M, Mitsui T, Ashizawa I. Extrathoracic neurilemmoma of the lateral chest wall mimicking a subcutaneous tumor: report of a case. Ann Thorac Cardiovasc Surg 2006;12:133-6.
  5. Kim DY, Cho CH, Ahn CM, Sohn HY, Lee DY, Yoon JH. A Case of benign solitary schwannoma of the chest wall. Korean J Intern Med 1987;33:119-24.
  6. Lee TY, Park JS, Sung YR, Kim WS, Lee JK, Park MK, et al. A case report of neurilemmoma of the chest wall. Tuberc Respir Dis 1997;44:649-54. https://doi.org/10.4046/trd.1997.44.3.649
  7. Koh YH, Kim MI, Han MS, Yoo JH, Kang HM. A case of neurilemmoma of the chest wall. Tuberc Respir Dis 1999;46:580-5. https://doi.org/10.4046/trd.1999.46.4.580
  8. Ahn CM, Lee HB, Lee YC, Rhee YK. Two cases of intrabronchial neurilemmoma. Tuberc Respir Dis 2000;49:225- 30. https://doi.org/10.4046/trd.2000.49.2.225
  9. Sakai F, Sone S, Kiyono K, Maruyama A, Ueda H, Aoki J, et al. Intrathoracic neurogenic tumors: MR-pathologic correlation. AJR Am J Roentgenol 1992;159:279-83. https://doi.org/10.2214/ajr.159.2.1632340
  10. Gay RE, Gay S, Jones RE Jr. Histological and immunohistological identification of collagens in basement membranes of Schwann cells of neurofibromas. Am J Dermatopathol 1983;5:317-25. https://doi.org/10.1097/00000372-198308000-00002
  11. Evans KG, Miller RR, Muller NL, Nelems B. Chest-wall tumours. Can J Surg 1990;33:229-32.