[Malignant nerve sheath tumor of the esophagus (malignant esophageal schwannoma)]

Gastroenterol Hepatol. 2004 Oct;27(8):467-9. doi: 10.1016/s0210-5705(03)70505-6.
[Article in Spanish]

Abstract

A case of malignant esophageal schwannoma is reported. A 54-year-old man consulted for a 1-year history of dysphagia. Investigations revealed a tumor of the distal esophagus, with involvement of the cardia, and were suspicious for metastatic mediastinal nodes. Ivor-Lewis esophagectomy with gastric-tube reconstruction was performed, with favorable outcome. Histological examination revealed esophageal sarcoma in a Barrett's esophagus. Periesophageal nodes had metastatic involvement. Immunohistochemical study was positive for S100 and vimentin and was negative for CD117, compatible with a diagnosis of esophageal schwannoma. We discuss this rare disease and its characteristics. This is the second reported case of malignant schwannoma with lymph node metastasis.

Publication types

  • Case Reports

MeSH terms

  • Esophageal Neoplasms / diagnostic imaging
  • Esophageal Neoplasms / pathology*
  • Esophageal Neoplasms / surgery
  • Esophagectomy
  • Gastroscopy
  • Humans
  • Immunohistochemistry
  • Lymph Nodes / pathology
  • Lymphatic Metastasis
  • Male
  • Middle Aged
  • Neurilemmoma / diagnostic imaging
  • Neurilemmoma / secondary*
  • Neurilemmoma / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome