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[Malignant peripheral nerve sheath tumor causing hemothorax; report of a case]
Eiki Mizutani1, Kazuki Nakahara, Shigeki Miyanaga
1Department of Thoracic Surgery, Tokyo Teishin Hospital, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 12, 2014
Summary
A rare malignant peripheral nerve sheath tumor caused a hemothorax in a 39-year-old male. Surgical resection and radiotherapy led to a favorable outcome with no recurrence at 9 months.
Area of Science:
- Thoracic Surgery
- Oncology
- Pathology
Background:
- Malignant peripheral nerve sheath tumors (MPNSTs) are rare and aggressive neoplasms.
- Mediastinal tumors can present with diverse and sometimes unusual symptoms, including hemothorax.
- Early diagnosis and appropriate management are crucial for improving patient outcomes.
Observation:
- A 39-year-old male presented with an abnormal chest X-ray finding.
- Chest CT revealed a 60-mm right posterior mediastinal tumor.
- The patient had a history of hemothorax drainage related to a mediastinal tumor 14 months prior, but declined further investigation.
Findings:
- Surgical resection of the mediastinal tumor, right lower lobectomy, and partial pericardiectomy were performed due to tumor invasion.
- Histopathological examination confirmed the diagnosis of malignant peripheral nerve sheath tumor.
- Postoperative radiotherapy was administered.
Implications:
- This case highlights the importance of thorough investigation of mediastinal masses, even after initial treatment.
- Complete surgical resection combined with adjuvant radiotherapy can be effective in managing MPNSTs.
- Prompt diagnosis and multidisciplinary treatment are essential for patients with rare thoracic malignancies.
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