Upper Esophageal Schwannoma: Rare Differential Diagnosis of Dysphagia

  • Bigyan Acharya Department of General Surgery, Kathmandu Model Hospital, Kathmandu
  • Binay Thakur Department of Surgical Oncology, B. P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Mukti Devkota Department of Surgical Oncology, B. P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Greta Pandey Department of Pathology, B. P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
  • Anup Shrestha Chitwan Medical College, Chitwan
  • Manish Chaudhary Department of Surgical Oncology, B. P. Koirala Memorial Cancer Hospital, Bharatpur, Chitwan
Keywords: Esophagus, Schwannoma, VATS, Esophagectomy

Abstract

Esophageal schwannomas are rare primary sub mucosal tumors, 45 cases have been reported so far. We  herein report the 46th case of an esophageal schwannoma from Nepal. A 60-year-old woman presented with progressivedysphagia. Oesophago-Gastro-Duodenoscopy (OGD) showed a sub mucosal mass with mucosal puckering in the upper esophagus; Computed tomography (CT) of the chest showed an upper esophageal mass of size 8x7x6cm3compressing the trachea. Bronchoscopy showed external compression of the mid trachea. The patient under went three incision VATS esophagectomy. Histopathological examination and immunohistochemical (IHC) staining confirmed the diagnosis of schwannoma.

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Author Biographies

Bigyan Acharya, Department of General Surgery, Kathmandu Model Hospital, Kathmandu

2nd Year FCPS Resident

Anup Shrestha, Chitwan Medical College, Chitwan

3rd year Fellow Hepatobiliary surgery

Published
2020-10-07
How to Cite
Acharya, B., Thakur, B., Devkota, M., Pandey, G., Shrestha, A., & Chaudhary, M. (2020). Upper Esophageal Schwannoma: Rare Differential Diagnosis of Dysphagia. Nepalese Journal of Cancer, 4(1), 84-87. https://doi.org/10.3126/njc.v4i1.31848
Section
Case Reports