ABSTRACT
BACKGROUND: Mediastinal neurilemmoma is an infrequent and a big size neoplasm in the posterior mediastinum. There are usually no symptoms. When there is a pressure against nerves or vascular structures, it can be dangerous for the life. The main problem of this tumors is the diagnosis: surgical approach and the complete resection without injuring vital mediastinal structures. CLINICAL CASE: We report a case in a 29-year-old male with a giant mediastinal neurilemmoma. He had chest pain for two months. Chest rays showed opacity in the left chest. A broncofiberscopy, computed tomography and transthoracic biopsy were performed. Finally, the patient had a left posterolateral thoracotomy. CONCLUSIONS: The giant mediastinal neurilemmoma is a benign and asymptomatic neoplasm in most cases. When the symptoms are present, they are nonspecific. We should rule out other pathologies. The intraoperatory fiberscopy is useful for the resection of small mediastinal tumours.
Subject(s)
Mediastinal Neoplasms , Neurilemmoma , Adult , Humans , Male , Mediastinal Neoplasms/diagnosis , Mediastinal Neoplasms/surgery , Neurilemmoma/diagnosis , Neurilemmoma/surgeryABSTRACT
A 71-years-old man presented with an incidentally finding of a tumor in the left pulmonary apex that measured approximately 4.5 cm of diameter. The patient, had de preceding of chronic smoking. Bronchoscopy with biopsy by transthoracic punction suggested the presence of epidermoid carcinoma. In the radiologic control, an increase in tumor size from 4.5 cm to 5 cm of the lesion was observed in a period of three months. The patient was submited to surgery and a tumorectomy by posterolateral thoracotomy was performed. The postoperatory evolution was satisfactory. The final diagnosis was hamartoma of the lung.
Subject(s)
Hamartoma , Lung Neoplasms , Aged , Biopsy , Bronchoscopy , Carcinoma, Squamous Cell/diagnosis , Diagnosis, Differential , Disease Progression , Hamartoma/diagnosis , Hamartoma/diagnostic imaging , Hamartoma/pathology , Hamartoma/surgery , Humans , Lung/pathology , Lung Neoplasms/diagnosis , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/pathology , Lung Neoplasms/surgery , Male , Radiography, Thoracic , Thoracotomy , Time Factors , Tomography, X-Ray ComputedABSTRACT
El caso correspondió a un hombre de 71 años en el que se detectó incidentalmente una tumoración en ápice pulmonar izquierda de aproximadamente 4.5 cm de diámetro, asociada al antecedente de tabaquismo intenso. Se realizó broncoscopia, toma de biopsia y punción transtorácica, sugiriendo carcinoma epidermoide. En los controles radiológicos subsecuentes, se observó crecimiento de la lesión de 4.5 cm a 5 cm en un lapso de tres meses, motivo por el cual se decidió realizar tumorectomía mediante toracotomía posterolateral izquierda. La evolución postoperatoria fue satisfactoria y el diagnóstico histopatológico final fue de hamartoma pulmonar.
A 71-years-old man presented with an incidentally finding of a tumor in the left pulmonary apex that measured approximately 4.5 cm of diameter. The patient, had de preceding of chronic smoking. Bronchoscopy with biopsy by transthoracic punction suggested the presence of epidermoid carcinoma. In the radiologic control, an increase in tumor size from 4.5 cm to 5 cm of the lesion was observed in a period of three months. The patient was submited to surgery and a tumorectomy by posterolateral thoracotomy was performed. The postoperatory evolution was satisfactory. The final diagnosis was hamartoma of the lung.