An Interesting Case of Extrapulmonary Manifestation of a Rare Mediastinal Tumor-Schwannoma

Abstract

A 23-year-old nonsmoking, female was sent to respiratory medicine department with suspicion of malignant intrathoracic lesion. The diagnosis was confirmed by performing Computed tomography of thorax. Suspicion for Benign posterior mediastinal schwannoma was raised as it is one of the most common posterior mediastinal mass. Complete resection of the mass was done & findings were confirmed by histopathological examination. We present here a case of posterior mediastinal schwannoma who presented with complaints of left-sided anhidrosis, headache, frequent tingling sensation & weakened hand grip for 4 years. To study the clinical presentation, course of progression, diagnosis & management of posterior mediastinal schwannoma. A case of posterior mediastinal schwannoma was studied with regular investigations, surgical management & follow-up. The patient recovered with complete resolution & uneventful postoperative period. In the list of common differential diagnoses for posterior mediastinal masses neurogenic tumors acquire the top position. Currently, video-assisted thoracoscopic surgery is the technique of choice for the diagnosis and treatment of benign posterior mediastinal masses as it is less invasive& has fewer complications. Survival rates for patients with benign neurogenic tumors are excellent. The benign posterior mediastinal schwannoma is completely resectable with less recurrence.

Keywords

• mediastinum mass
• schwannoma
• neurogenic tumor
• posterior mediastinum