[A case of schwannoma of the chest wall showing a bead-like appearance in MRI]

Nihon Kokyuki Gakkai Zasshi. 2003 Oct;41(10):766-70.
[Article in Japanese]

Abstract

A 31-year-old man was referred to our hospital because of a chest X-ray abnormality. Computed tomography showed an extra-pulmonary mass along the left 8th rib. T1-weighed magnetic resonance imaging (MRI) revealed a mass lesion with intermediate signal intensity. T2-weighed MRI showed a high signal intensity in peripheral and multiple central portions with intermediate signal intensity, which yielded a bead-like appearance. Gadopentetate dimeglumine-enhanced T1-weighted MRI showed marked contrast enhancement in the central zone of the mass. En bloc resection of the mass with the left 8th rib was performed. The tumor resembled a rosary in gross appearance, and histological examination confirmed the diagnosis of a benign schwannoma arising from the intercostal nerve. The bead-like appearance in the MRI was unique and had never been reported before for such a tumor. The postoperative course was uneventful, and the patient has been well for eighteen months.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Neurilemmoma / diagnosis*
  • Neurilemmoma / pathology
  • Neurilemmoma / surgery
  • Thoracic Neoplasms / diagnosis*
  • Thoracic Neoplasms / pathology
  • Thoracic Neoplasms / surgery
  • Thoracic Wall*
  • Treatment Outcome