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J Thorac Cardiovasc Surg 2007;133:265-267
© 2007 The American Association for Thoracic Surgery


Brief Communication

Primary pulmonary malignant schwannoma with extension to the tracheal carina

Mika Uchiyama, MDa,*, Yoshie Shimoyama, MDb, Noriyasu Usami, MDa, Simon Ito, MDa, Ayuko Yasuda, MDa, Koji Kawaguchi, MDa, Kohei Yokoi, MDa

a Division of Thoracic Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
b Department of Pathology and Clinical Laboratories, Nagoya University Hospital, Nagoya, Japan.

Received for publication July 21, 2006; accepted for publication September 5, 2006.

* Address for reprints: Mika Uchiyama, MD, Division of Thoracic Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. (Email: takepon@med.nagoya-u.ac.jp).

The first 20% of the full text of this article appears below.


Figure 1
Dr Uchiyama


Primary pulmonary malignant schwannomas are extremely rare, and only 11 case reports of this tumor are available.1Go All cases were treated with a relatively simple surgical procedure, such as pneumonectomy, lobectomy, or enucleation, but their clinicopathologic appearances have not been well clarified. We present a patient with this tumor, which originated in the right upper lobe of the lung and involved the mainstem bronchus and tracheal carina. For complete removal of the tumor, we performed right upper lobectomy of the lung using extended wedge resection of the tracheal carina, followed by anastomosis of the right intermediate trunk and the distal trachea.

Clinical Summary

A 57-year-old woman was admitted to our hospital with a 5-month history of worsening cough and dyspnea. There were no abnormal findings on physical and laboratory examinations. Chest x-ray films and computed tomographic scans revealed an apical right-sided large mass measuring 8.4 x 6.0 cm, which was adjacent to the superior vena cava, esophagus, and posterior wall of the distal trachea. The tumor also extended into the right mainstem . . . [Full Text of this Article]







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