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  • Title: [Intrathoracic neurofibroma originating in the left vagus nerve].
    Author: Hoshino H, Ohbuchi T, Sakon O, Suzuki G, Shigehara K, Takabatake H, Fujita A, Tagaki S, Sekine K, Abe S.
    Journal: Nihon Kokyuki Gakkai Zasshi; 2000 Jan; 38(1):54-8. PubMed ID: 10723953.
    Abstract:
    A 20-year-old man was admitted because of an abnormal mass shadow on chest X-ray film. Computed tomography (CT) and magnetic resonance imaging (MRI) disclosed a mass lesion in the superior portion of the left mediastinum. CT scans showed a well-defined mass with low density. Axial MRI rendered the mass lesion with intermediate signal intensity on T1-weighted images and high signal intensity on T2-weighted images. The preoperative diagnosis was bronchogenic cyst. Video-assisted thoracic surgery revealed that the tumor originated in the truncus of the left vagus nerve. The resected tumor was 90 x 24 x 18 mm in size. The postoperative course was uneventful and hoarseness did not develop. The pathologic diagnosis was benign mediastinal neurofibroma without von Recklinghausen's disease. Such cases are extremely rare in the Japanese literature.
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