caa a22 4500 606206787 CHVBK 20210128101013.0 cr unu---uuuuu 210128e20150201xx s 000 0 eng 10.1007/s10353-014-0287-3 doi (NATIONALLICENCE)springer-10.1007/s10353-014-0287-3 Giant paratracheal ancient schwannoma in 57-year-old male patient: case report [Elektronische Daten] [R. Novotný, J. Hrubý, J. Hlubocký, P. Mitáš, L. Brlicová, J. Valešová, D. Janak, J. Lindner] Summary: Background: A 57-year-old male patient who presented with a massive paratracheal tumor was admitted for tumor extirpation. The presented tumor was exposed by a growth spurt in approximately 6 months' time. This manifested in tracheoesophageal compression symptoms (tracheal deviation on roentgenography, significant dyspnea, and dysphagia). Surgical extirpation was recommended as a treatment of choice. Method: After positioning patient with rotated head on the contralateral side, a longitudinal incision was made on the anterior border of the sternocleidomastoid muscle extending from the clavicular head to the retromandibular area. The tumor was carefully dissected from structures present in the carotid sheath and fully extirpated in one piece from its bed, which extended proximally to the collar bone and cranially to the angle of the mandible. A histological examination of the extirpated tumor was performed. Results: After the paratracheal tumor was extirpated, an instant relief from the tracheoesophageal compression symptom was described by the patient. Final diagnosis was determined by a histological examination as an ancient schwannoma. Conclusion: Currently, the only available treatment for this type of tumor is surgical extirpation. Histological examination is the only method that can establish final diagnosis. Springer-Verlag Wien, 2014 Ancient schwannoma nationallicence Neurinoma nationallicence Schwann cell tumor nationallicence Tumor nationallicence Paratracheal nationallicence Novotný R. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Hrubý J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Hlubocký J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Mitáš P. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Brlicová L. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Valešová J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Janak D. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut Lindner J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut European Surgery Springer Vienna 47/1(2015-02-01), 35-38 1682-8631 47:1<35 2015 47 10353 https://doi.org/10.1007/s10353-014-0287-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10353-014-0287-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Novotný R. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Hrubý J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Hlubocký J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Mitáš P. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Brlicová L. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Valešová J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Janak D. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 700 1- Lindner J. 1st Faculty of Medicine, 2nd Department of Cardiovascular Surgery, General Teaching Hospital, Charles University, U nemocnice 2, 128 08, Prague 2, Czech Republic aut NATIONALLICENCE 773 0- European Surgery Springer Vienna 47/1(2015-02-01), 35-38 1682-8631 47:1<35 2015 47 10353