Abstract
A 72-year-old male referred for surgical treatment underwent chest computed tomography to further investigate a well defined mass with a maximal diameter of 3.2 cm at the left S10. There was no pathological diagnosis established by either bronchoscopic biopsy specimens or computed tomography-guided percutaneous needle biopsy. The lower lobe and mediastinal lymph nodes were excised (complete resection). The 6.5-cm encapsulated grayish mass showed extensive areas of hemorrhage and necrosis on cut surface. Results from histological and immunohistochemical study yielded a definitive diagnosis of malignant schwannoma. Primary malignant schwannomas of the lung are extremely rare and the prognosis is poor in most cases. Our patient is currently well without recurrence more than 2 years after complete resection. Complete surgical resection is the best therapeutic option for primary malignant schwannoma of the lung.
Similar content being viewed by others
References
Martini N, Hajdu SI, Beattie EJ Jr. Primary sarcoma of the lung. J Thorac Cardiovasc Surg 1971; 61: 33–8.
Morita T Chronological changes of lung sarcoma and lung cancer incidence based on the annual of the pathological autopsy cases in Japan (1956–1986) (Eng abstr). Nihon Kyobu Shikkan Gakkai Zasshi 1990; 28: 126–34.
Uchiyama Y, Minami H, Yamashita M, Aduma K, Takahashi T, Nakamura A A case of intrapulmonary schwannoma and a review of the Japanese literature (Eng abstr). Nippon Kyobu Geka Gakkai Zasshi 1989; 37: 1238–41.
Roviaro G, Montorsi M, Varoli F, Binda R, Cecchetto A. Primary pulmonary tumours of neurogenic origin. Thorax 1983; 38: 942–5.
Janssen JP, Mulder JJ, Wagenaar SS, Elbers HR, van den Bosch JM. Primary sarcoma of the lung: A clinical study with long-term follow-up. Ann Thorac Surg 1994; 58: 1151–5.
Keel SB, Bacha E, Mark EJ, Nielsen GP, Rosenberg AE. Primary pulmonary sarcoma: Aclinicopathologic study of 26 cases. Mod Pathol 1999; 12: 1124–31.
Etienne-Mastroianni B, Falchero L, Chalabreysse L, Loire R, Ranchere D, Souquet PJ, et al. Primary sarcomas of the lung. A clinicopathologic study of 12 cases. Lung Cancer 2002; 38: 283–9.
Bacha EA, Wright CD, Grillo HC, Wain JC, Moncure A, Keel SB, et al. Surgical treatment of primary pulmonary sarcomas. Eur J Cardiothorac Surg 1999; 15: 456–60.
Porte HL, Metois DG, Leroy X, Conti M, Gosselin B, Wurtz A Surgical treatment of primary sarcoma of the lung. Eur J Cardiothorac Surg 2000; 18: 136–42.
Magne N, Porsin B, Pivot X, Tchiknavorian X, Marcy PY, Foa C, et al. Primary lung sarcomas: Long survivors obtained with iterative complete surgery. Lung Cancer 2001; 31: 241–5.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Togashi, Ki., Hirahara, H., Sugawara, M. et al. Primary malignant schwannoma of the lung. Jpn J Thorac Caridovasc Surg 51, 692–695 (2003). https://doi.org/10.1007/s11748-003-0014-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-003-0014-7