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Ann Thorac Surg 2008;85:660-662. doi:10.1016/j.athoracsur.2007.07.088
© 2008 The Society of Thoracic Surgeons
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Case Reports

Benign Esophageal Schwannoma Compressing the Trachea in Pregnancy

Shinjiro Mizuguchi, MD, PhDa,*, Kiyotoshi Inoue, MD, PhDa, Atsuo Imagawa, MDa, Yoshinori Kitano, MD, PhDb, Masao Kameyama, MD, PhDb, Haruhiko Ueda, MD, PhDc, Yasuhide Inoue, MD, PhDc

a Department of Thoracic Surgery, Bell Land General Hospital, Osaka, Japan
b Department of Surgery, Bell Land General Hospital, Osaka, Japan
c Department of Obstetrics and Gynecology, Bell Land General Hospital, Osaka, Japan

Accepted for publication July 27, 2007.

* Address correspondence to Dr Mizuguchi, Department of Thoracic Surgery, Bell Land General Hospital, 500-3 Higashiyama, Naka-ku, Sakai-city, Osaka, 599-8247, Japan (Email: m1293795{at}msic.med.osaka-cu.ac.jp).

A rare case of esophageal schwannoma compressing the trachea in pregnancy is presented. A 29-year-old pregnant woman was hospitalized due to severe dyspnea. Imaging studies revealed a homogeneous tumor (8 cm in diameter) in the posterior mediastinum with compression of the lower trachea. After an uneventful cesarean section, the patient underwent a mini-axillary thoracotomy with video-assisted thoracic surgery. The tumor arose from within the muscular layers of the esophagus and was enucleated by gentle blunt dissection. Pathologic and immunohistochemical examinations revealed a benign esophageal schwannoma.






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