Case Report

Huge Intrathoracic Malignant Peripheral Nerve Sheath Tumor in an Adolescent with Neurofibromatosis Type 1

Table 1

Reported cases of children and adolescents with intrathoracic MPNST in the English-language literature.

ReferenceAge (years)SexSymptomsLocationMetastasisNF1OperationChemotherapyRadiotherapy (cGy)Outcome

Elli et al., 2007 [16]131MaleLUQ pain, weight lossLt paravertebralYesTotal resectionVICE, Ep, and ALocal, 4680DOD, 14 months

Komori et al., 2003 [17]12FemaleChest pain, dyspneaRt paravertebralN/ANoPartial resectionN/AN/ADOD, 15 months

Muwakkit et al., 2006 [18]2.5MaleMalaise, fatigue, anorexia, and palpitations upon exertionRt pulmonaryN/ANoTotal resection and lobectomyVDC Not doneN/A

Imazu et al., 2006 [19]12FemaleNeck swelling2Rt paraclavicularYesTotal resectionNot doneNot doneNED, 12 months

Moharir et al., 2010 [20]8MaleWeight loss, respiratory symptomsLt hemithoraxNoSubtotal resectionDoneNot doneDOD, 2.5 months

Moharir et al., 2010 [20]12FemaleNone (incidental)Rt paraspinalYesTotal resectionDoneNot doneNED, 2 years

Present case16FemaleChest pain, respiratory problemRt anteriorLungNoTotal resectionVDC/IERt lung and pleura, 6600DOD, 9 months

His tumor was diagnosed with MPNST associated with some angiosarcoma components.
Her tumor was located at cervicothoracic lesion.
A: actinomycin-D; C: cyclophosphamide; D: doxorubicin; DOD: died of disease; E: etoposide; Ep: epirubicin; I: ifosfamide; Lt: left; LUQ: left upper quadrant; N/A: not assessed; NED: no evidence of disease; NF1: diagnosis of neurofibromatosis type 1; Rt: right; V: vincristine.