• Title/Summary/Keyword: Schwannoma

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Two Cases of Benign Solitary Schwannoma with Pleural Effusion (흉수를 동반한 양성 고립자 신경초종 2예)

  • Cho, Jin-Hoon;Kim, Ki Uk;Park, Hye-Kyung;Jeong, Yeon Joo;Kim, Young Dae;Kim, Yun Seong;Lee, Min Ki;Park, Soon Kew
    • Tuberculosis and Respiratory Diseases
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    • v.63 no.1
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    • pp.78-82
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    • 2007
  • Schwannoma represents approximately 40% of neurogenic tumors arising in the mediastinum, and develops along the sympathetic or parasympathetic chain, intercostals nerve, and spinal ganglia. It is usually asymptomatic, and is confronted accidentally but can produce chest pain, cough and dyspnea. However, dyspnea with pleural effusion is rare in patients with benign schwannoma. We encountered two cases of benign schwannoma with pleural effusion. Both cases had similar initial symptoms and the characteristics of a mass but the characteristics of pleural effusion analysis were different. The benign schwannoma was confirmed in two cases using VATS (video-assisted tharawswpic surgery).

A Case Report of Vestibular Schwannoma Misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss (특발성 돌발성 난청으로 오인된 청신경 종양 1례)

  • Ko, Hye-Yeon;Kim, Jae-Ho;Lee, Ma-Eum;Kim, Min-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.3
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    • pp.80-91
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    • 2021
  • Objective : The purpose of this study is to discriminate the vestibular schwannoma misdiagnosed as Idiopathic Sudden Sensorineural Hearing Loss. Methods : A 46-year-old female patient who was suffering left sudden sensorineural hearing loss(SSNHL), visited after diagnosed as Idiopathic SSNHL by previous hospital. For diagnosing the vestibular schwannoma, we conducted the Puretone audiometry, auditory brainstem response threshold test and magnetic resonance imaging(MRI) for temporal bone with enhancement. Result : Auditory Brainstem Response threshold test was abnormal and in enhanced MRI, the vestibular schwannoma in left side was detected. The patient was discharged from the hospital for tertiary hospital care. Conclusions : When the patient with SSNHL visits a hospital even if after diagnosed as Idiopathic SSNHL by previous hospital, a doctor should keep in mind the possibility of vestibular schwannoma.

Benign Schwannoma of the Esophagus Removed by Enucleation (식도에서 발생한 신경초종 수술례)

  • 박승일;이용직;박창률;최인철
    • Journal of Chest Surgery
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    • v.34 no.5
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    • pp.434-436
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    • 2001
  • 식도의 양성 종양은 흔하지 않았으며 이중 신경초종은 아주 드문 식도 양성종양이다. 봉원에서는 점점 심해지는 연하곤란을 주소로 내워한 52세 여자환자에서 식도에 생긴 신경초종을 우측 개흉술을 통한 종양 적출술로 성공적으로 제거 하였기에 이에 문헌 고찰과 더불어 증례 보고하는 바이다.

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Ancient Schwannoma Misdiagnosed as a Hemangioma in the Ventral Tongue

  • Lee, Sun Jae;Kim, Yongsoo;Leem, Dae Ho;Baek, Jin A;Shin, Hyo Keun;Ko, Seung O
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.6
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    • pp.402-407
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    • 2013
  • Schwannomas originate from the Schwann cells in the neural sheath of the peripheral nerves. Ancient schwannoma is one of five variants, and its characteristics include histopathological degeneration and diffuse hypocellular areas. Histopathological features show degenerative changes and atypical nuclei can easily be confused with malignant neoplasms. These cellular atypisms are caused solely by degenerative changes. Ancient schwannomas have been reported 17 cases of in the oral cavity and five cases in the ventral tongue, including the floor of the mouth. We report a new case of an ancient schwannoma, misdiagnosed as a hemangioma with a 10-year evolution, located in the ventral tongue of a 29-year-old female.

A Case of Schwannoma of the Base of Tongue (혀 기저부에 발생한 신경초종 1례)

  • Lee, Sung-Jin;Jin, Sung-Min;Lee, Chang-Hee;Lee, Seon-Uk
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.2
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    • pp.148-150
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    • 2009
  • Schwannoma are benign, solitary and encapsulated tumors originating from the Schwann cells of the nerve sheath. About 25% to 40% of all schwannomas are found in the head and neck and the acoustic nerve is most frequently involved, but schwannomas of the tongue is rare. When they do occur, treatment is simple. However, diagnosis is invariably delayed because of the vagueness of symptoms. Recently, authors experienced a case of schwannoma occurred in the base of tongue and the tumor was successfully removed through intraoral approach. So we report this case with literature review.

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Benign Schwannoma of the Esophagus-Surgical experience of two cases- (식도에서 발생한 양성 신경초종-수술치험 2예-)

  • Byun Joung-Hun;Park Sung-Dal
    • Journal of Chest Surgery
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    • v.38 no.8 s.253
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    • pp.589-593
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    • 2005
  • Esophageal schwannoma is very rare and almost of all cases are diagnosed as esophageal submucosal tumor preoperatively. Final diagnosis is made by postoperative immunohistochemical (IHC) staining of the surgical specimen. We experienced two cases of esophageal submucosal tumor, one was 63 year old female suffering from three months of dysphagia and another was 39 year old female complaining of two months of intermittent dysphagia. Two esophageal tumors were completely removed by esophagectomy and enucleation through right thoracotomy respectively. Postoperative IHC staining demonstrated S-100 positive without mitotic figures and confirmative diagnosed was made as benign esopphageal schwannoma.

Intracisternal Cranial Root Accessory Nerve Schwannoma Associated with Recurrent Laryngeal Neuropathy

  • Jin, Sung-Won;Park, Kyung-Jae;Park, Dong-Hyuk;Kang, Shin-Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.56 no.2
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    • pp.152-156
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    • 2014
  • Intracisternal accessory nerve schwannomas are very rare; only 18 cases have been reported in the literature. In the majority of cases, the tumor origin was the spinal root of the accessory nerve and the tumors usually presented with symptoms and signs of intracranial hypertension, cerebellar ataxia, and myelopathy. Here, we report a unique case of an intracisternal schwannoma arising from the cranial root of the accessory nerve in a 58-year-old woman. The patient presented with the atypical symptom of hoarseness associated with recurrent laryngeal neuropathy which is noted by needle electromyography, and mild hypesthesia on the left side of her body. The tumor was completely removed with sacrifice of the originating nerve rootlet, but no additional neurological deficits. In this report, we describe the anatomical basis for the patient's unusual clinical symptoms and discuss the feasibility and safety of sacrificing the cranial rootlet of the accessory nerve in an effort to achieve total tumor resection. To our knowledge, this is the first case of schwannoma originating from the cranial root of the accessory nerve that has been associated with the symptoms of recurrent laryngeal neuropathy.

Ultrasonographic Diagnosis of Soft Tissue Tumor that was Misdiagnosed as Achilles Tendinitis (초음파로 진단한 아킬레스건염으로 오인된 발목 후방의 종양 -증례 보고-)

  • Nam, Woo Dong;Kim, Ui Seok;Han, Kye Yong;Lee, Kang
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.2
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    • pp.102-105
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    • 2012
  • Schwannoma is a common peripheral nerve tumor that mainly occur at head and neck, flexor muscle of upper, and lower extrimity. In posterior tibial nerve schwannoma, diagnosis is difficult, since physicians often consider achilles tendinitis, posterior impingement syndrome, retrocalcaneal bursitis, or injury of the flexor tendons, as the primary cause in patients with posterior ankle pain. Ultrasonogram may be a simple tool to differentiate such various diseases. The authors report a case of posterior tibial nerve schwannoma diagnosed with ultrasonogram, which was initially misunderstood as achilles tendinitis.

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Thoracic Intramedullary Schwannoma Accompanying by Extramedullary Beads-Like Daughter Schwanommas

  • Ryu, Kyeong-Sik;Lee, Ki-Yeol;Lee, Hong-Jae;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • v.49 no.5
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    • pp.302-304
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    • 2011
  • Thoracic intramedullary schwannomas are rare spinal cord tumors. Most of these tumors have been reported as a single lesion in the spinal cord. The authors report the first case of intramedullary schwannoma accompanying by extramedullary beads-like daughter masses of the thoracic spine. A 68-year-old male presented with walking disturbance and decreased sensation below T10 dermatome. Imaging workup revealed an intramedullary mass at T6 and T7, T6 and T7 laminectomy and mass removal were performed. Intraoperatively, extramedullary beads-like daughter masses along the nerve roots adjacent to intramedullary mass were identified. Total removal of intramedullary lesion and partial resection of extramedullary masses were done. Histological analysis confirmed the diagnosis of schwannoma. The patient could ambulate independently at postoperative 1 month without any neurological sequelae. The authors experienced a surgical case of intramedullary schwannoma accompanying by extramedullary beads-like same pathologies in the thoracic spine.

A Case of Giant, Benign Schwannoma Associated with Total Lung Collapse by Bloody Effusion

  • Jang, Ju Young;Kim, Jin Se;Choe, Ju Won;Kim, Mi Kyung;Jung, Jae Woo;Choi, Jae Chol;Shin, Jong Wook;Park, In Won;Choi, Byoung Whui;Kim, Jae Yeol
    • Tuberculosis and Respiratory Diseases
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    • v.75 no.2
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    • pp.71-74
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    • 2013
  • Benign schwannoma is the most common neurogenic tumor in the mediastinum. Mediastinal benign schwannomas are most often asymptomatic and rarely accompanied by bloody pleural effusion. In the clinical analysis of 7 cases of pulmonary schwannomas, pleural effusion, and blood invasion were evident in 3 patients with malignant schwannoma. Herein, we report a rare case of giant, benign schwannoma presented with total collapse of right lung by massive, bloody pleural effusion.