Nesimi GÜNAL, Koray DURAL, Bülent KOÇER, Gültekin GÜLBAHAR, Ünal SAKINCI

Interkostal sinirden köken alan schwannoma: olgu sunumu

Schwannomalar sinir kılıfından veya Schwann hücrelerinden köken alan sıklıkla soliter, kapsüle, asemptomatik lezyonlardır. Toraks içindeki lezyonların büyük çoğunluğu mediastinum içinde yer alırken nadir olarak interkostal sinirden kaynaklanır. Bu yazıda sırt ağrısıyla başvuran, interkostal schwannoma nedeniyle rezeksiyon uygulanan ve cerrahi tedavi sonrası ağrı şikayeti gerileyen 26 yaşında bir erkek olgu sunuldu.

Intercostal nerve schwannoma: a case report

Schwannomas are solitary, capsulated and asymptomatic lesions that originate from nerve sheath or schwann cells. Although intrathoracic lesions are mostly located in mediastinum, they rarely originate from intercostal nerves. We report a case of schwannoma arising from an intercostal nerve in 26-year-old man, with back pain and undergoing resection in the chest wall. The pain relieved after surgical treatment.

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1. Campione A, Di Bisceglie M, Lonzi M, Gotti G. Sudden onset of thoracic pain: neurofibroma with intracystic haemorrhage. Interact Cardiovasc Thorac Surg 2004;3:533-4.
2. McClenathan JH, Bloom RJ. Peripheral tumors of the intercostal nerves. Ann Thorac Surg 2004;78:713-4.
3. Strollo DC, Rosado-de-Christenson ML, Jett Primary mediastinal tumors: part II. Tumors of the middle and posterior mediastinum. Chest 1997;112:1344-57.
4. Reynolds M, Shields TW. Benign and malignant neurogenic tumors of the mediastinum in children and in adults. In: Shields TW, editor. General thoracic surgery. 6th ed. Philadelphia; William & Wilkins; 2004. p. 2729-56.
5. Martin-Ucar AE, Rengarajan A, Waller DA. Giant intercostal nerve Schwannoma presenting as Horner’s syndrome. Recovery after surgical resection. Eur J Cardiothorac Surg 2002;22:310.
6. Molenaar WM, Ladde BE, Schraffordt Koops H, Dam Meiring A. Two epithelioid malignant schwannomas in a patient with neurofibromatosis. Cytology, histology and DNA-flow-cytometry. Pathol Res Pract 1989;184:529-34.
7. Stumpo M, Poppi M, Rizzo G, Martinelli P. Intercostal neuralgic schwannoma: a case report. Muscle Nerve 2002;25:753-4.
8. Petkar M, Vaideeswar P, Deshpande JR. Surgical pathology of cystic lesions of the mediastinum. J Postgrad Med 2001;47:235-9.
9. Cıncık H, Güngör A, Baloğlu H, Çolak A, Candan H. Baş boyun yerleşimli sinir kılıfı tümörleri: Üç olgu sunumu. Turk Arch Otolaryngol 2004;42:220-4.