Weekly Chest CasesCases by Disease Category

Case No : 1202 Date 2020-11-06

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  • Courtesy of Cho Hee Kim, Tae Jung Kim / Samsung Medical Center
  • Age/Sex 74 / F
  • Chief ComplaintPostprandial chest pain
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6

Diagnosis With Brief Discussion

Diagnosis
Esophageal schwannoma
Radiologic Findings
Figure 1. Chest radiograph shows increased opacity at the left paratracheal area associated with right sided tracheal deviation.
Figure 2. Unenhanced chest computed tomography (CT) shows that the mass in the left tracheal area is homogenous, and iso-attenuating with chest wall muscle.
Figure 3-5. Contrast-enhanced chest CT images show an upper esophageal mass of well-defined and homogenous density that adheres to the wall of the esophagus suggestive of a submucosal tumor.
Figure 6. FDG positron emission tomography image shows the mass with avidly increased uptake of FDG.
Brief Review
Gastrointestinal schwannomas are uncommon benign neoplasms that are uniquely different from conventional soft t issue and central nervous system schwannomas. Histologically, gastrointestinal schwannomas are S-100 protein
References
1. Levy AD, Quiles AM, Miettinen M, Sobin LH. Gastrointestinal schwannomas: CT features with clinicopathologic correlation. AJR Am J Roentgenol. 2005;184(3):797-802.
2. Lee, Man Ho, et al. "CT Findings of Esophageal Schwannoma: A Case Report." Journal of the Korean Society of Radiology 72.3 (2015): 189-192.
3. Beaulieu, Sylvain, et al. "Positron emission tomography of schwannomas: emphasizing its potential in preoperative planning." American Journal of Roentgenology 182.4 (2004): 971-974.
Keywords
esophagus, gastrointestinal, neurogenic tumor, schwannoma ,

No. of Applicants : 63

▶ Correct Answer : 7/63,  11.1%
  • - Diagnose.me (BV) / Royal Perth Hospital , Australia YURANGA WEERAKKODY
  • - Asan Medical Center , Korea (South) EUNJI CHOI
  • - Kinki University Faculty of Medicine, , Japan MITSURU MATSUKI
  • - The University of Tokyo Hospital , Japan MOTO NAKAYA
  • - Other , Korea (South) MINSU KIM
  • - Chonbuk National University Hospital , Korea (South) KUM JU CHAE
  • - , Japan SOTA MASUOKA
▶ Correct Answer as Differential Diagnosis : 17/63,  27.0%
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - , Japan HIROAKI ARAKAWA
  • - Other , Korea (South) KYU-CHONG LEE
  • - McGill , Canada ADRIANA SOFIA MORALES
  • - Osaka City General Hospital , Japan SHU MATSUSHITA
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - Korea University Guro Hospital , Korea (South) LEE SEOKYOUNG
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - Eskisehir Sehir Hastanesi , Turkey MURAT SAHIN
  • - , Japan HIROAKI ARAKAWA
  • - Private sector , Greece VASILIOS TZILAS
  • - Gifu University Hospital , Japan Yo Kaneko
  • - National Center for Global Health and Medicine , Japan MASATOSHI HOTTA
  • - Hamamatsu University Hospital , Japan HAYATO NOZAWA
  • - Chungbuk National University Hospital , Korea (South) YEONGTAE PARK
▶ Semi-Correct Answer : 3/63,  4.8%
  • - Chonnam National University Hospital , Korea (South) SEUNGYOON CHAE
  • - Showa University Fujigaoka Hospital , Japan KYOKO NAGAI
  • - Chungbuk National University Hospital , Korea (South) MIHYEON PARK
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