Management of Intrathoracic Benign Schwannomas of the Brachial Plexus

Primary tumours of the brachial plexus are rare entities. They usually present as extrathoracic masses located in the supraclavicular region. This report describes two cases of benign schwannomas arising from the brachial plexus with an intrathoracic growth. In the first case the tumour was complete...

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Main Authors: Alessandro Bandiera, Giampiero Negri, Giulio Melloni, Carlo Mandelli, Simonetta Gerevini, Angelo Carretta, Paola Ciriaco, Armando Puglisi, Piero Zannini
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/130492
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author Alessandro Bandiera
Giampiero Negri
Giulio Melloni
Carlo Mandelli
Simonetta Gerevini
Angelo Carretta
Paola Ciriaco
Armando Puglisi
Piero Zannini
author_facet Alessandro Bandiera
Giampiero Negri
Giulio Melloni
Carlo Mandelli
Simonetta Gerevini
Angelo Carretta
Paola Ciriaco
Armando Puglisi
Piero Zannini
author_sort Alessandro Bandiera
collection DOAJ
description Primary tumours of the brachial plexus are rare entities. They usually present as extrathoracic masses located in the supraclavicular region. This report describes two cases of benign schwannomas arising from the brachial plexus with an intrathoracic growth. In the first case the tumour was completely intrathoracic and it was hardly removed through a standard posterolateral thoracotomy. In the second case the tumour presented as a cervicomediastinal lesion and it was resected through a one-stage combined supraclavicular incision followed by left video-assisted thoracoscopic surgery. A brachial plexus tumour should be suspected not only in patients with a supraclavicular or cervicomediastinal mass but also in those with intrathoracic apical lesions. A preoperative magnetic resonance imaging study of brachial plexus should be performed in such cases in order to plan the correct surgical approach.
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language English
publishDate 2014-01-01
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series Case Reports in Surgery
spelling doaj-art-8b55fcee6dac4402afdda7f0cd281b852025-02-03T05:46:27ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/130492130492Management of Intrathoracic Benign Schwannomas of the Brachial PlexusAlessandro Bandiera0Giampiero Negri1Giulio Melloni2Carlo Mandelli3Simonetta Gerevini4Angelo Carretta5Paola Ciriaco6Armando Puglisi7Piero Zannini8Department of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Neurosurgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Neuroradiology, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Via Olgettina 60, 20132 Milan, ItalyPrimary tumours of the brachial plexus are rare entities. They usually present as extrathoracic masses located in the supraclavicular region. This report describes two cases of benign schwannomas arising from the brachial plexus with an intrathoracic growth. In the first case the tumour was completely intrathoracic and it was hardly removed through a standard posterolateral thoracotomy. In the second case the tumour presented as a cervicomediastinal lesion and it was resected through a one-stage combined supraclavicular incision followed by left video-assisted thoracoscopic surgery. A brachial plexus tumour should be suspected not only in patients with a supraclavicular or cervicomediastinal mass but also in those with intrathoracic apical lesions. A preoperative magnetic resonance imaging study of brachial plexus should be performed in such cases in order to plan the correct surgical approach.http://dx.doi.org/10.1155/2014/130492
spellingShingle Alessandro Bandiera
Giampiero Negri
Giulio Melloni
Carlo Mandelli
Simonetta Gerevini
Angelo Carretta
Paola Ciriaco
Armando Puglisi
Piero Zannini
Management of Intrathoracic Benign Schwannomas of the Brachial Plexus
Case Reports in Surgery
title Management of Intrathoracic Benign Schwannomas of the Brachial Plexus
title_full Management of Intrathoracic Benign Schwannomas of the Brachial Plexus
title_fullStr Management of Intrathoracic Benign Schwannomas of the Brachial Plexus
title_full_unstemmed Management of Intrathoracic Benign Schwannomas of the Brachial Plexus
title_short Management of Intrathoracic Benign Schwannomas of the Brachial Plexus
title_sort management of intrathoracic benign schwannomas of the brachial plexus
url http://dx.doi.org/10.1155/2014/130492
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