DOI QR코드

DOI QR Code

Resection of Intrapericardial Schwannoma Co-Existing with Thymic Follicular Hyperplasia through Sternotomy without Cardiopulmonary Bypass

  • Chung, Jae Ho (Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Jung, Jae Seung (Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Lee, Sung Ho (Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Kim, Kwang Taik (Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Lee, Kanghoon (Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, Korea University College of Medicine) ;
  • Lee, Seung Hun (Department of Thoracic and Cardiovascular Surgery, Korea University Medical Center, Korea University College of Medicine)
  • Received : 2013.08.02
  • Accepted : 2013.10.15
  • Published : 2014.06.05

Abstract

A 35-year-old man was admitted to Korea University Anam Hospital for evaluation of intermittent chest pain. Computed tomography of the chest showed enlargement of a previously identified anterior mediastinal mass and also a well-defined, circumscribed mass in the subcarinal area, surrounded by the roof of the left atrium, right pulmonary artery, and the carina. Complete resection of the intrapericardial tumor was performed through median sternotomy without cardiopulmonary bypass. Pathologic examination identified the tumor as schwannoma, of an ancient type, diffusely positive for the S-100 antigen. Unlike other reported cases, grossly, the tumor did not seem to be involved with any nerve.

Keywords

References

  1. Pilavaki M, Chourmouzi D, Kiziridou A, Skordalaki A, Zarampoukas T, Drevelengas A. Imaging of peripheral nerve sheath tumors with pathologic correlation: pictorial review. Eur J Radiol 2004;52:229-39. https://doi.org/10.1016/j.ejrad.2003.12.001
  2. Skovronsky DM, Oberholtzer JC. Pathologic classification of peripheral nerve tumors. Neurosurg Clin N Am 2004;15: 157-66. https://doi.org/10.1016/j.nec.2004.02.005
  3. Marchevsky AM. Mediastinal tumors of peripheral nervous system origin. Semin Diagn Pathol 1999;16:65-78.
  4. Hashimoto T, Eguchi S, Nakayama T, Ohzeki H, Hayashi J. Successful removal of massive cardiac neurilemoma with cardiopulmonary bypass. Ann Thorac Surg 1998;66:553-5. https://doi.org/10.1016/S0003-4975(98)00473-1
  5. Forbes AD, Schmidt RA, Wood DE, Cochran RP, Munkenbeck F, Verrier ED. Schwannoma of the left atrium: diagnostic evaluation and surgical resection. Ann Thorac Surg 1994;57:743-6. https://doi.org/10.1016/0003-4975(94)90581-9
  6. Cooley DA. Surgical treatment of cardiac neoplasms: 32-year experience. Thorac Cardiovasc Surg 1990;38 Suppl 2:176-82. https://doi.org/10.1055/s-2007-1014063
  7. Sirlak M, Uymaz OK, Tasoz R, Erden E, Ozyurda U, Akalin H. Primary benign schwannoma of the heart. Cardiovasc Pathol 2003;12:290-2. https://doi.org/10.1016/S1054-8807(03)00076-0

Cited by

  1. Benign Pericardial Schwannoma: Case Report and Summary of Previously Reported Cases vol.19, pp.None, 2014, https://doi.org/10.12659/ajcr.907408
  2. Heart schwannoma vol.21, pp.2, 2014, https://doi.org/10.15825/1995-1191-2019-2-150-160