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Mediastinal schwannoma

Rime Essid, Imen Bouassida, Amina Abdelkbir, Hazem Zribi, Amani Ben Mansour, Ayda Ayedi, Sonia Ouerghui, Adel Marghli
European Respiratory Journal 2021 58: PA3419; DOI: 10.1183/13993003.congress-2021.PA3419
Rime Essid
1Thoracic surgery department Abderrahmen Mami hospital Ariana, Tunis, Tunisia
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  • For correspondence: essid.rime@gmail.com
Imen Bouassida
1Thoracic surgery department Abderrahmen Mami hospital Ariana, Tunis, Tunisia
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Amina Abdelkbir
1Thoracic surgery department Abderrahmen Mami hospital Ariana, Tunis, Tunisia
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Hazem Zribi
1Thoracic surgery department Abderrahmen Mami hospital Ariana, Tunis, Tunisia
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Amani Ben Mansour
2Pneumology department pavillon C Abderrahmen mami hospital, Tunis, Tunisia
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Ayda Ayedi
3department of pathological anatomy Abderrahmen mami hospital, Tunis, Tunisia
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Sonia Ouerghui
4Anesthesia department Abderrahmen mami hospital, Tunis, Tunisia
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Adel Marghli
1Thoracic surgery department Abderrahmen Mami hospital Ariana, Tunis, Tunisia
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Abstract

Introduction: Schwannoma is a rare tumor that usually develops from the intercostal nerves. Nine per cent of schwannomas occur in the mediastinum. It is a slow growing lesion usually occurring in young adults. The discovery is often fortuitous. Through this work we highlight the interest of surgery in the diagnostic and therapeutic management of schwannomas.

Methods: This is a retrospective descriptive study of 21 patients operated on for mediastinal schwannoma in the thoracic surgery department of Abderrahman Mami hospital between 2010 and 2020.

Results: There were 15 women and 6 men. The average age was 44.16 years. Symptomatology was made of dyspnea in 5 cases, cough in 2 cases, chest pain in 6 cases, cervicobrachial neuralgia in 2 cases and dysphonia in 1 case. The discovery was fortuitous in 6 cases. A chest x-ray taken for all patients showed mediastinal opacity. All patients had an injected thoracic CT scan which showed a mass of the posterior and superior mediastinum in 18 cases and of the posterior and inferior mediastinum in 3 cases. The average size of the tumor was 60mm[30-110mm]. All patients underwent complete surgical resection of the tumor. Posterolateral thoracotomy was performed in 8 cases, lateral thoracotomy in 1 case, and video assisted thoracoscopy in 12 cases. The postoperative course was uneventful. The mean duration of drainage was 3 days and the duration of hospitalization was 4.16 days. The pathological examination confirmed the diagnosis. No recurrence was reported with a mean follow-up of 4 years.

Conclusion: The treatment of choice for mediastinal schwannomas is complete surgical resection. Its objectives are to confirm the histopathological diagnosis of the tumor, to prevent local invasion, and malignant degeneration

  • Diagnosis
  • Adults
  • Mediastinal tumour

Footnotes

Cite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3419.

This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.

This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).

  • Copyright ©the authors 2021
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Mediastinal schwannoma
Rime Essid, Imen Bouassida, Amina Abdelkbir, Hazem Zribi, Amani Ben Mansour, Ayda Ayedi, Sonia Ouerghui, Adel Marghli
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3419; DOI: 10.1183/13993003.congress-2021.PA3419

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Mediastinal schwannoma
Rime Essid, Imen Bouassida, Amina Abdelkbir, Hazem Zribi, Amani Ben Mansour, Ayda Ayedi, Sonia Ouerghui, Adel Marghli
European Respiratory Journal Sep 2021, 58 (suppl 65) PA3419; DOI: 10.1183/13993003.congress-2021.PA3419
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