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  • Title: [Middle mediastinal schwannoma originating from the intrathoracic vagal nerve with difficulty in swallowing; report of a case].
    Author: Ishibashi H, Ohta S, Hirose M, Togo T, Muro H, Nakajima N.
    Journal: Kyobu Geka; 2012 Aug; 65(9):840-3. PubMed ID: 22868473.
    Abstract:
    A 41-year-old male complaining of difficulty in swallowing was referred to our hospital. Chest computed tomography( CT) demonstrated 34×25×36 mm tumors in the subcarinal region. Gadolinium( Gd)-diethylenetriamine pentaacetic acid( DTPA) enhanced magnetic resonance imaging (MRI) showed the tumor with the target appearance sign, i.e., signal intensity of the mass was low on T1-weighted MRI, and the center of the mass was enhanced by Gd-DTPA. A neurogenic tumor was suspected on radiological findings. Resection of the tumor by video-assisted thoracoscopic surgery was performed. The tumor was found to originate from the left vagus nerve by operative findings and was diagnosed as schwannoma by pathological examination.
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