IMAGES IN THORAX
Intercostal ancient schwannoma mimicking an apical lung tumour
1 Cardiothoracic Surgery Units, "Pineta Grande" Clinic, Castel Volturno, Caserta, Italy
2 Thoracic Surgery Units, University Federico II, Naples, Italy
3 Dipartimento di Scienze Biomorfologiche e Funzionali, Servizio di Anatomia Patologica, University Federico II, Naples, Italy
Correspondence to:
Dr A Lerro, Via Diocleziano, 178 Napoli, Italy; cardiothorax.pineta@libero.it
Accepted 2 July 2007
| The first 150 words of the full text of this article appear below. |
A 56-year-old woman was admitted to our hospital with inspiratory dyspnoea, dry cough, vague right chest pain and right arm pain for 2 months. She denied tobacco use or asbestos exposure and had no significant medical or family history.
A chest radiograph highlighted extensive radiopacity involving the superior right lobe, the lateral view detailed the mass as being located in the posterior mediastinum. Chest CT scanning revealed a large well circumscribed heterogeneous tumour of 7x6x5 cm, with punctuate calcifications and focal low density areas, located in the posterior mediastinum in the right paravertebral gutter (fig 1). MRI demonstrated a well defined lobulated mass and inhomogeneous enhancement with non-enhanced linear and patchy areas after intravenous gadolinium injection. There were no expansions through spinal roots or other tissues (fig 2). The sample taken by CT guided fine needle aspiration of the mass was of
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Thorax 2008 63: 1.[Extract] [Full Text] [PDF]
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