Transient Sarcoid Reaction to a Thoracic Schwannoma

D. Caillaud, K. Horo, Kemeny Jl, J. Michel, Y. Toloba
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Abstract

Background: Sarcoid reactions to benign tumors are an exception. Only two cases have been reported where these reactions were associated with a benign teratoma. We report a new case where a sarcoid reaction is secondary to a thoracic schwannoma. Observation: During a uveitis assessment performed on a 53 year-old man who was not displaying any other symptoms, a thoracic schwannoma and mediastino-hilar lymph nodes were fortuitously discovered. Surgical resection of the schwannoma leads to a regression of the mediastinal and hilar lymph nodes without any other medical treatment. Conclusion: In case of thoracic schwannoma, a sarcoid reaction must be considered if mediastinal lymph nodes are present. Other similar cases are necessary to confirm the validity of this case report.
胸部神经鞘瘤的短暂性瘤样反应
背景:良性肿瘤的肉瘤样反应是一个例外。只有两个病例报道这些反应与良性畸胎瘤有关。我们报告一个新的情况下,一个肉瘤反应是继发于胸椎神经鞘瘤。观察:在对一名没有任何其他症状的53岁男性进行葡萄膜炎评估时,偶然发现了胸神经鞘瘤和纵隔-肝门淋巴结。手术切除神经鞘瘤会导致纵隔淋巴结和肺门淋巴结的消退,而无需任何其他药物治疗。结论:胸椎神经鞘瘤如有纵隔淋巴结,应考虑结节样反应。需要其他类似病例来证实本病例报告的有效性。
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