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European Surgery
Erschienen in:

01.04.2014 | Case Report

Esophageal schwannoma: report of a case and review of the literature

verfasst von: K. Dalcı, MD, O. Yalav, MD, FEBS, A. Rencuzogulları, MD, I. C. Eray, MD, Prof. C. Ozcelik, Prof. F. Doran

Erschienen in: European Surgery | Ausgabe 2/2014

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Summary

Background

Esophageal schwannomas are very rarely seen neurogenic tumors and constitute less than 2 % of all esophageal tumors. The current study reports a case of benign esophageal schwannoma and re-evaluates esophageal schwannomas including our case with the other 42 cases in the literature.

Methods

A 61-year-old female patient was referred to our clinic with the complaints of dysphagia and a weight loss. In her upper gastrointestinal system endoscopy, a 20–25-cm submucosal lesion was seen, which compressed the esophagus from outside. On computerized tomography and magnetic resonance imaging of the thorax, a mass lesion was detected at the posterior mediastinum. After a preoperative detailed evaluation, a right posterolateral thoracotomy was performed. The mass was excised with the enucleation technique. The diagnosis of benign esophageal schwannoma was made with immunohistochemical examination.

Results

Postoperative period was uneventful.

Conclusions

Generally, the prognosis of esophageal schwannomas is excellent. Complete removal of the mass producing a negative surgical margin, and in malignant cases, excision of the regional lymph nodes, should be essential for long-term disease-free survival.
Vorheriger Artikel Detection of rare variant of “circumaortic venous collar” during infrarenal abdominal aortic aneurysm repair: case report and literature review
Nächster Artikel Selected commentary to review on novel concepts of columnar lined esophagus
Literatur
1.
2.
Saito R, Kitamura M, Suzuki H, Ogawa J, Sageshima M. Esophageal schwannoma. Ann Thorac Surg. 2000;69:1947–9.PubMedCrossRef
3.
Sato K, Maekawa T, Maekawa H, et al. A case of esophageal schwannoma and literature analysis of 18 cases. Esophagus. 2005;2:145–9.CrossRef
4.
Hiranuma C, Omura K, Kawakami K, Tsukayama S, Yoshiba H, Watanabe G. A case of the esophageal schwannoma. Jpn J Gastroenterol Surg. 2003;36:1487–92.CrossRef
5.
Ohno M, Sugihara J, Miyamura K, et al. Benign schwannoma of the esophagus removed by enucleation: report of a case. Surg Today. 2000;30:59–62.PubMedCrossRef
6.
Vinhais SN, Cabrera RA, Nobre-Leitao C, Cunha TM. Schwannoma of the esophagus: computed tomography and endosonographic findings of a special type of schwannoma. Acta Radiol. 2004;45:718–20.PubMedCrossRef
7.
Suzuki H, Nagayo T. Primary tumors of the esophagus other than squamous cell carcinoma. Int Adv Surg Oncol. 1980;3:73.PubMed
8.
Murase K, Hino A, Ozeki Y, Katagiri Y, Onitsuka A, Sugie S. Malignant schwannoma of the esophagus with lymph node metastasis: literature review of schwannoma of the esophagus. J Gastroenterol. 2001;36:772–7.PubMedCrossRef
9.
Chen HC, Huang HJ, Wu CY, Lin TS, Fang HY. Esophageal schwannoma with tracheal compression. Thorac Cardiovasc Surg. 2006;54(8):555–8.PubMedCrossRef
10.
Tokunaga T, Takeda S, Sumimura J, Maeda H. Esophageal schwannoma: report of a case. Surg Today. 2007;37:500–2.PubMedCrossRef
11.
Sanchez ZJ. Benign neurinoma of the esophagus. Bol Trab Soc Cir B Aires. 1956;40:610–1.
12.
Kato K, Shida H, Morimoto M, et al. A case of intramural neurinoma of the esophagus. Nippon Kyobu Rinsho. 1982;41:156–60. In Japanese with English abstract.
13.
Brooks JS, Freeman M, Enterline HT. Malignant ‘Triton’ tumors. Natural history and immunohistochemistry of nine cases with literature review. Cancer. 1985;55:2543–85.PubMedCrossRef
14.
Konishi M, Yamaguchi H, Yoshida S, et al. Endoscopic and clinicopathological features of esophageal submucosal tumors. Shokaki Naishikyo Shinpo. 1989;35:112–5. In Japanese with English abstract.
15.
Perch SJ, Soffen EM, Whittington R, Brooks JJ. Esophageal sarcoma. J Surg Oncol. 1991;48:194–8.PubMedCrossRef
16.
Eberlein TJ, Hannan R, Josa M, Sugarbaker DJ. Benign schwannoma of the esophagus presenting as a giant fibrovascular polyp. Ann Thorac Surg. 1992;53:343–5.PubMedCrossRef
17.
Iwata H, Kataoka M, Kureyama Y, Yamakawa Y, Kuwabara Y, Masaoka A. Esophageal schwannoma. Ann Thorac Surg. 1993;56:376–7.PubMedCrossRef
18.
Arai T, Sugimura H, Suzuki M, et al. Benign schwannoma of the esophagus: report of two cases with immunohistochemical and ultrastructural studies. Pathol Int. 1994;44:460–5.PubMedCrossRef
19.
Nishinaka H, Hara Y, Tanaka M. A case report of neurinoma of the esophagus. J Jpn Soc Clin Surg. 1995;56:1362–6.
20.
Morita I, Mushiaki H, Shinozaki Y, et al. A case of the esophageal submucosal schwannoma with pathological malignant findings. Geka. 1996;58:506–10. In Japanese.
21.
Ishida A, Masaki H, Tabuchi A, et al. A case of neuroschwannoma of the esophagus. J Jpn Soc Clin Surg. 1997;58:2033–7.
22.
Nakamura A, Ito S, Ide S, et al. A thoracoscopically removed schwannoma of the esophagus. Jpn J Gastroenterol Surg. 1998;31:2231–4.CrossRef
23.
Hamoir MF, Minet M, Garin P, Garbar CH, Rombaux P. Schwannoma of the cervical esophagus: case report and clinical and pathological analysis. Rev Laryngol Otol Rhinol. 1998;119:51–4.
24.
Prevot S, Bienvenu L, Vaillant JC, Saint-Maur PP. Benign schwannoma of the digestive tract: a clinicopathologic and immunohistochemical study of five cases, including a case of esophageal tumor. Am J Surg Pathol. 1999;23:431–6.PubMedCrossRef
25.
Kobayashi N, Kikuchi S, Shimao H, et al. Benign esophageal schwannoma: report of a case. Surg Today. 2000;30:526–9.PubMedCrossRef
26.
Cokelaere K, Sciot R, Geboes K. Esophageal plexiform schwannoma. Int J Surg Pathol. 2000;8(4):353–7.PubMedCrossRef
27.
Manger T, Pross M, Haeckel C, et al. Malignant peripheral nerve sheath tumor of the esophagus. Dig Surg. 2000;17:627–31.PubMedCrossRef
28.
Naus PJ, Tio FO, Gross GW. Esophageal schwannoma: first report of successful management by endoscopic removal. Gastrointest Endosc. 2001;54:520–2.PubMedCrossRef
29.
Mi SK, Seung SL, Geung HA. Schwannomas of the gastrointestinal tract: clinicopathological features of 12 cases including a case of esophageal tumor compared with those of gastrointestinal stromal tumors and leiomyomas of the gastrointestinal tract. Pathol Res Pract. 2002;198:605–13.CrossRef
30.
Lasota J, Wasag B, Dansonka-Mieszkowska A, et al. Evaluation of NF2 and NF1 tumor suppressor genes in distinctive gastrointestinal nerve sheath tumors traditionally diagnosed as benign schwannomas: a study of 20 cases. Lab Invest. 2003;83:1361–71.PubMedCrossRef
31.
Hsu SD, Cheng YL, Chen A, Lee SC. Esophageal schwannoma. J Formos Med Assoc. 2003;102:346–8.PubMed
32.
Sanchez A, Mariangel P, Carrasco C, et al. Malignant nerve sheath tumor of the esophagus (malignant esophageal schwannoma). Gastroenterol Hepatol. 2004;27:467–9.PubMedCrossRef
33.
Park BJ, Carrasquillo J, Bains MS, Flores RM. Giant benign esophageal schwannoma requiring esophagectomy. Ann Thorac Surg. 2006;82:340–2.PubMedCrossRef
34.
Basoglu A, Celik B, Sengul TA, et al. Esophageal schwannoma. J Thorac Cardiovasc Surg. 2006;131:492–3.PubMedCrossRef
35.
Marin VP, Yu P, Weber RS. Isolated cervical esophageal reconstruction for rare esophageal tumors. Head Neck. 2006;28(9):856–60PubMedCrossRef
36.
Yoon HY, Kim CB, Lee YH, Kim HG. An obstructing large schwannoma in the esophagus. J Gastrointest Surg. 2008;12:761–3.PubMedCrossRef
37.
Mizuguchi S, Inoue K, Imagawa A, et al. Benign esophageal schwannoma compressing the trachea in pregnancy. Ann Thorac Surg. 2008;85:660–2.PubMedCrossRef
38.
39.
Matsuki A, Kosugi S, Kanda T, et al. Schwannoma of the esophagus: a case exhibiting high 18F-fluorodeoxyglucose uptake in positron emission tomography imaging. Dis Esophagus. 2009;22:6–10.CrossRef
40.
Dutta R, Kumar A, Jindal T, Tanveer N. Concurrent benign schwannoma of oesophagus and posterior mediastinum. Interact Cardiovasc Thorac Surg. 2009;9(6):1032–4.PubMedCrossRef
41.
Makino T, Yamasaki M, Takeno A, et al. Thoracoscopic enucleation of esophageal schwannoma exhibiting 18F-fluorodeoxyglucose uptake on positron emission tomography. Dis Esophagus. 2011;26:331–2.PubMedCrossRef
42.
43.
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;92:357–8.PubMedCrossRef
44.
Kassis ES, Bansal S, Perrino C, et al. Giant asymptomatic primary esophageal schwannoma. Ann Thorac Surg. 2012;93:81–3.CrossRef
45.
Liu T, Liu H, Yang C, Zhang X, Xu S, Liu B. Benign esophageal schwannoma compressing the trachea requiring esophagectomy: a case report. Thorac Cardiovasc Surg. 2012;61(6):1439–902.
46.
Miettinen M, Lasota J. Gastrointestinal stromal tumors (GISTs): definition, occurrence, pathology, differential diagnosis and molecular genetics. Pol J Pathol. 2003;54:3–24.PubMed
47.
48.
Levine MS, Buck JL, Pantongrag-Brown L, Buetow PC, Hallman JR, Sobin LH. Leiomyosarcoma of the esophagus: radiographic findings in 10 patients. Am J Roentgenol. 1996;167:27–32.CrossRef
49.
Beaulieu S, Rubin B, Djang D, Conrad E, Turcotte E, Eary JF. Positron emission tomography of schwannomas: emphasizing its potential in preoperative planning. Am J Roentgenol. 2004;182:971–4.CrossRef
50.
Ahmed AR, Watanabe H, Aoki J, Shinozaki T, Takagishi K. Schwannoma of the extremities: the role of PET in preoperative planning. Eur J Nucl Med. 2001;28:1541–51.PubMedCrossRef
51.
Kubota K, Itoh M, Ozaki K, et al. Advantage of delayed whole-body FDG-PET imaging of tumor detection. Eur J Nucl Med. 2001;28:696–703.PubMedCrossRef
52.
Lodge MA, Lucus JD, Marsden PK, Cronin BF, O’Doherty MJ, Smith MA. A PET study of 18FDG uptake in soft tissue masses. Eur J Nucl Med. 1999;26:22–30.PubMedCrossRef
53.
Hamada K, Ueda T, Higuchi I, et al. Peripheral nerve schwannoma: two cases exhibiting increased FDG uptake in early and delayed PET imaging. Skeletal Radiol. 2005;34:52–7.PubMedCrossRef
54.
Okai T, Minamoto T, Ohtsubo K, et al. Endosonographic evaluation of c-kit-positive gastrointestinal stromal tumor. Abdom Imaging. 2003;28:301–7.PubMedCrossRef
55.
Palazzo L, Landi B, Cellier C, Cuillerier E, Roseau G, Barbier JP. Endosonographic features predictive of benign and malignant gastrointestinal stromal cell tumours. Gut. 2000;46:88–92.PubMedCentralPubMedCrossRef
56.
Daimaru Y, Kido H, Hashimoto H, Enjoji M. Benign schwannoma of the gastrointestinal tract. A clinicopathologic and immunohistochemical study. Hum Pathol. 1981;19:257–64.CrossRef
57.
Lewin KJ, Appelman HD. Schwannoma. In: Rosai J, Sobin LH, editors. Tumors of the esophagus and stomach. Washington: AFIP; 1996. p. 442.
58.
Sarlomo-Rikala M, Tsujimura T, Lendahl U, Miettinen M. Patterns of nestin and other intermediate filament expression distinguish between gastrointestinal stromal tumors, leiomyomas and schwannomas. APMIS. 2002;110:499–507.PubMedCrossRef
Metadaten
Titel
Esophageal schwannoma: report of a case and review of the literature
verfasst von
K. Dalcı, MD
O. Yalav, MD, FEBS
A. Rencuzogulları, MD
I. C. Eray, MD
Prof. C. Ozcelik
Prof. F. Doran
Publikationsdatum
01.04.2014
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 2/2014
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-014-0252-1

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