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BMJ Case Reports 2012; doi:10.1136/bcr-2012-007867
  • Unusual presentation of more common disease/injury

Schwannoma in anterior mediastinum with massive pericardial effusion

  1. Madhu Mati Goel2,3
  1. 1Department of Internal Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of Pathology, CSM Medical University, Lucknow, Uttar Pradesh, India
  3. 3Central Library, CSM Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Professor Arvind Kumar Vaish, vaish12{at}rediffmail.com

Summary

Schwannoma is a benign nerve sheath neoplasm of schwann cell origin. Mediastinum is the second most common site of schwannoma with majority originating in the posterior medistinum. Mediastinal schwannoma is slow growing and mostly asymptomatic in presentation. We present a case of schwannoma arising in the anterior mediastinum, an unusual location, complicated by massive haemorrhagic pericardial effusion. We recommend an aggressive approach in such cases with pericardiectomy to prevent reaccumulation of the pericardial fluid.

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