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Adjacent schwannomas originating from intercostal and sympathetic nerves
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  1. Kazuki Hayashi1,
  2. Makoto Motoishi2,
  3. Satoru Sawai3,
  4. Jun Hanaoka1
  1. 1Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Otsu, Japan
  2. 2Division of General Thoracic Surgery, Mitsubishikyoto Hospital, Kyoto, Japan
  3. 3Division of General Thoracic Surgery, National Hospital Organization Kyoto Medical Center, Kyoto, Japan
  1. Correspondence to Dr Kazuki Hayashi, hayashik{at}belle.shiga-med.ac.jp

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Description 

Schwannomas are the most frequent type of intrathoracic neurogenic tumour, but the presence of multiple simultaneous schwannomas is a rare occurrence. We experienced a patient initially thought to have a single schwannoma based on preoperative imaging, but who was subsequently found to have two adjacent schwannomas arising from different nerves.

A 48-year-old woman showed an abnormal shadow on chest X-ray during a medical examination. CT-guided biopsy did not provide a definitive diagnosis, and she was therefore referred to our department. Her general condition was good and her neurological findings were normal. No skin pigmentation or subcutaneous nodules were observed. Chest CT revealed a 5.5 cm segmental lobular tumour in the right posterior mediastinum (figure 1A) and chest MRI showed that the tumour continued from the right …

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