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large esophageal schwannoma mimiking thyroid tumor with egg-shell calcification on preoperative ultrasonography

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Author(s)
Dongbin AhnJin Ho SohnHeejin KimChang Ki Yeo
Keimyung Author(s)
Yeo, Chang Ki
Department
Dept. of Otorhinolaryngology (이비인후과학)
Journal Title
Asian Journal of Surgery
Issued Date
2017
Volume
40
Issue
3
Keyword
dysphagiaesophagusschwannomathyroidultrasonography
Abstract
Schwannoma tumors in esophagus are extremely rare and clinically present as dysphagia in most reported cases. Because of their rarity and need for histopathological confirmation using immunohistochemistry, an erroneous diagnostic and therapeutic approach can be adopted. A 36-year-old woman presented at the hospital with complaints of an anterior neck mass. On ultrasonography, a large left thyroid mass with egg-shell calcification was suspected. However, the thyroid surgeon found that it was not a thyroid tumor. An incision biopsy was performed for histopathological analysis, which revealed a schwannoma. Then, salivary leakage occurred through the cervical incision site, suggesting that the incisional biopsy had caused esophageal perforation. She was transferred to our department and underwent emergency surgery. We successfully resected the tumor and controlled the infection without any further injury to the esophagus, although it was a revision surgery and the wound was greatly infected. We believe that it is important to always keep in mind that an atypical presentation of esophageal schwannoma may lead to the development of, for example, a large nodule in the left thyroid gland involving the esophagus.
Keimyung Author(s)(Kor)
여창기
Publisher
School of Medicine
Citation
Dongbin Ahn et al. (2017). large esophageal schwannoma mimiking thyroid tumor with egg-shell calcification on preoperative ultrasonography. Asian Journal of Surgery, 40(3), 236–239. doi: 10.1016/j.asjsur.2014.04.002
Type
Article
ISSN
1015-9584
DOI
10.1016/j.asjsur.2014.04.002
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32361
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학)
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