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Case Reports in Surgery
Volume 2013, Article ID 414260, 3 pages
http://dx.doi.org/10.1155/2013/414260
Case Report

Unusual Presentation of Mediastinal Neurogenic Tumours

1Department of Thoracic Surgery, Scientific Institute H San Raffaele, Via Olgettina 60, 20132 Milan, Italy
2Department of Neurosurgery, Scientific Institute H San Raffaele, Via Olgettina 60, 20132 Milan, Italy

Received 21 March 2013; Accepted 17 April 2013

Academic Editors: C. Foroulis and B. Tokar

Copyright © 2013 Giampiero Negri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Mediastinal neurogenic tumours generally arise as single benign lesions and their typical location is the costovertebral sulcus. In about 10% of cases mediastinal neurogenic tumours may extend to the spinal canal; occasionally they may extend to the cervical region and, more rarely, may be multiple or associated with other synchronous mediastinal lesions. The treatment of choice is surgical resection. This report describes three cases of unusual presentation of mediastinal benign schwannomas successfully treated at our Hospital. In the first case multiple simultaneous paravertebral lesions were resected through a posterior approach. In the second case a tumour of the posterior mediastinum extending to the cervical region was excised through a one-stage combined supraclavicular incision followed by left mini-invasive video-assisted thoracoscopic surgical techniques. The third case describes a patient with a posterior neurogenic mediastinal tumour with a synchronous parathyroid adenoma of the anterior mediastinum, which were both successfully resected by video-assisted thoracoscopic surgery.