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Primary pleural schwannoma: a rare case report.
1Department of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Journal of Medicine and Life
|December 25, 2024
Summary
This case study highlights a rare benign pleural schwannoma presenting as chest pain in an elderly male. Early recognition is key, distinguishing it from malignant lung lesions.
Area of Science:
- Oncology
- Pathology
- Radiology
Background:
- Schwannomas are typically benign peripheral nerve sheath tumors.
- Pleural schwannomas arising from autonomic nerves are exceptionally rare.
- Most schwannomas are slow-growing and asymptomatic.
Observation:
- An elderly male presented with severe chest pain and a suspicious lung lesion on X-ray.
- Positron emission tomography-computed tomography (PET-CT) identified a hypermetabolic mass in the left pleura.
- Histopathological assessment of a core needle biopsy confirmed a benign pleural schwannoma.
Findings:
- The study details an unusual case of a symptomatic benign pleural schwannoma.
- Diagnostic imaging, including PET-CT, was crucial in identifying the lesion.
- Histopathology confirmed the benign nature of the tumor.
Implications:
- Clinicians and radiologists must consider rare presentations of pleural schwannomas.
- Accurate diagnosis is vital to differentiate from malignant pleural or lung masses.
- Prompt and appropriate treatment can be guided by correct diagnosis.

