대개 양성 고립성 신경초종의 경우 무증상으로 우연히 발견되며, 흉수로 인한 호흡곤란을 동반하는 증례는 매우 드물다. 저자들은 호흡곤란과 흉통을 주소로 내원하여 흉수를 동반한 양성 고립성 신경초종으로 진단된 2예를 경험하였기에 보고하는 바이다.
Schwannoma represents approximately 40% of neurogenic tumors arising in the mediastinum, and develops along the sympathetic or parasympathetic chain, intercostals nerve, and spinal ganglia. It is usually asymptomatic, and is confronted accidentally but can produce chest pain, cough and dyspnea. However, dyspnea with pleural effusion is rare in patients with benign schwannoma. We encountered two cases of benign schwannoma with pleural effusion. Both cases had similar initial symptoms and the characteristics of a mass but the characteristics of pleural effusion analysis were different. The benign schwannoma was confirmed in two cases using VATS (video-assisted tharawswpic surgery). (Tuberc Respir Dis 2007; 63: 78-82)
(2004) Spontaneous hemothorax in a patient with posterior mediastinal neurilemmoma:a case report,
(1969) Benign solitary Schwannoma(neurilemomas),
(2002) Schwannoma as a cause of Pancoast’s syndrome,
(2001) Diaphragmatic eventration:an uncommon presentation of a phrenic nerve schwannoma,
(1987) A case of benign solitary schwannoma of the chest wall,
(2007) Two cases of Endobronchial Neurilemmoma and Review of the Literature in Korea,
(2004) A case of schwannoma induced stenosis of superior mesenteric artery,
(1981) A case of intrathoracic neurinoma presenting as hemothorax,
(1998) Solitary cellular schwannoma presenting with haemothorax,
(2001) A case of giant dumbbell shaped schwannoma with massive pleural effusion,
Janowitz P, (2002) Gastric schwannoma as a rare differential diagnosis of pleural effusion,