BMJ Case Reports 2018; doi:10.1136/bcr-2017-223795
  • Learning from errors

Middle mediastinal schwannoma concealed by asthma and GORD

  1. Josephino Sanchez2
  1. 1Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA
  2. 2Department of Surgery, University of Santo Tomas Hospital, Manila, Philippines
  1. Correspondence to Dr Prudence Dy, prudencekhody{at}
  • Accepted 9 February 2018
  • Published 13 March 2018


Neurogenic tumours of the mediastinum in adults occur most often at the posterior mediastinum, majority of which are benign of nerve sheath in origin. A 72-year-old woman, known asthmatic, presented with chronic symptoms of hoarseness, dysphagia, chest heaviness, easy fatigability, cough, epigastric pain, feeling of abdominal fullness and choking with food intake and at a supine position. Treated for other disorders, routine chest X-ray incidentally found a homogenous convex radiodensity at the right paratracheal area; mass which was also observed with CT and 18F-fludeoxyglucose-positron emission tomography/CT scan studies. Mediastinoscopy with biopsy showed spindle to plump cells with strong S100 positivity. Thoracoscopic surgery done to completely excise the mass found it to be benign schwannoma.


  • Contributors PD, the main author, wrote the paper. CL, the surgery resident, contributed to the images, involved in the care of the patient and provided information of the workup and management. JS, the thoracic surgeon, operated on the patient.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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