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Ann Thorac Surg 1989;48:126-128
© 1989 The Society of Thoracic Surgeons

Articles

Primary neurilemoma of the diaphragm

James H. McClenathan, MD*,a,b, Floyd Okada, MDa,b

a Department of Surgery, Kaiser Permanente Medical Center, Santa Clara, California, USA
b Department of Surgery, Stanford University School of Medicine, Stanford, California USA

Accepted for publication January 26, 1989.

* Address reprint requests to Dr McClenathan, Department of Surgery, Kaiser Permanente Medical Center, 900 Kiely Blvd, Santa Clara, CA 95051.

A neurilemoma of the diaphragm in an asymptomatic 46-year-old woman is raported, and 12 cases of primary meural tumor of the diaphragm reported previously are reviewed. The commun symptoms in these patients are chest pain, cough, and dyspnea. Joint pain or clubbing of the fingers is present in nearly half of the patients. As with diaphragmatic tumors in general, many neural tumors of the diaphragm are malignant. We believe that all such tumors should be resected through a thoracotomy incision, which affords optimal exposure of the diaphragm.




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