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Rare disease
CASE REPORT
Incidental ancient schwannoma of the posterior mediastinum in a young male: a rare scenario
  1. Gouthaman Shanmugasundaram1,
  2. Periyasamy Thangavel2,
  3. Balasubramanian Venkataraman1 and
  4. Gunabooshanam Barathi3
  1. 1 Department of Surgical Oncology, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  2. 2 Department of Cardiothoracic Surgery, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  3. 3 Department of Pathology, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Gouthaman Shanmugasundaram, gouthamonco1{at}gmail.com

Abstract

Ancient schwannoma is a distinctive type of schwannoma occurring mostly in the retroperitoneum. The presentation in the posterior mediastinum is rare. The term ‘ancient’ represents a group of neurogenic tumours showing degenerative changes with marked nuclear atypia. A 26-year-old man was incidentally detected to have an upper mediastinal mass lesion in the chest X-ray. MRI chest revealed a mixed signal intensity lesion in the left side upper para spinal region of the posterior mediastinum. The patient underwent left posterior thoracotomy and excision of the mass was done. Postoperative period was uneventful. The histopathological feature was typical of Ancient schwannoma. The patient is on regular follow-up and disease free until.

  • neurooncology
  • surgical oncology

https://doi.org/10.1136/bcr-2018-227497

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    Footnotes

    • Contributors GS: part of the operative team; drafted the article and provided the final alterations in the article facilitating the submission process. PT: part of the operating team; contributed in providing the operative photograph and final alterations in the article. BV: part of the operating team; contributed in getting consent from the patient and final drafting of the article. GB: pathologist involved in the case and provided the histopathological images and descriptions facilitating the drafting of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

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

    • Patient consent for publication Obtained.