Ancient schwannoma of the spine with thoracic cavity extension in an elderly patient after COVID-19: A case report

Authors

  • Padungcharn Nivatpumin Department of Surgery, Chulabhorn Hospital, Chulabhorn Royal Academy
  • Pichej Lerdpunnaponse Department of Surgery, Chulabhorn Hospital, Chulabhorn Royal Academy
  • Payothorn Decharin Department of Surgery, Chulabhorn Hospital, Chulabhorn Royal Academy

Keywords:

ancient schwannoma, spinal tumor, post COVID-19 infection, mediastinum mass, thoracotomy

Abstract

Ancient schwannoma is a variant of schwannoma that rarely affects the spine. Imaging and histological examinations that are not performed in conjunction with specific immunohistochemistry studies may result in misdiagnosis. During the global coronavirus disease 2019 (COVID-19) pandemic, we encountered many patients who underwent chest computed tomography (CT) for early diagnosis of COVID-19 pneumonia. In some of these cases, there were incidental findings of a mediastinal mass. Here, we report a case of ancient schwannoma of the spine with thoracic cavity extension mimicking a malignant mediastinal tumor, describe the magnetic resonance imaging (MRI) findings, and discuss the need for careful preoperative evaluation for initial diagnosis and the scheduling of surgery during the COVID-19 pandemic.

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Pre and Post operative chest X-ray showed a large mediastinal mass

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Published

2023-04-10

How to Cite

1.
Nivatpumin P, Lerdpunnaponse P, Decharin P. Ancient schwannoma of the spine with thoracic cavity extension in an elderly patient after COVID-19: A case report. J Chulabhorn Royal Acad [Internet]. 2023 Apr. 10 [cited 2024 May 17];5(2):73-8. Available from: https://he02.tci-thaijo.org/index.php/jcra/article/view/257094

Issue

Vol. 5 No. 2 (2023): April - June

Section

Academic Articles

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ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับราชวิทยาลัยจุฬาภรณ์ และคณาจารย์ท่านอื่น ในราชวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว