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Journal of Korean Neurosurgical Society > Volume 33(6); 2003 > Article
Journal of Korean Neurosurgical Society 2003;33(6): 596-598.
Spinal Malignant Schwannoma with Hematogenous Pulmonary Metastases: Case Report.
Jae Woo Park, Min Ho Kong, Dong Kyu Chin, Young Soo Kim
1Department of Neurosurgery, Kangnam General Hospital, Public Corporation, Seoul, Korea. joenamu0@yahoo.co.kr
2Department of Neurosurgery, Yonsei University, College of Medicine, Seoul, Korea.
We report a case of multiple hematogenous pulmonary metastases from a spinal malignant schwannoma. A 54-year-old woman with a known primary spinal malignant schwannoma presented with a 2-month history of painful neck mass, ptosis, anhidrosis, facial edema and mild chest discomfort. She had had the spinal surgeries two times followed by postoperative radiation therapy. The chest radiograph revealed typical multiple metastatic nodules on the both lung fields. Metastatic malignant schwannoma to the lung was confirmed by fine needle aspiration biopsy using a 22-gauge needle under fluoroscopic gauidance. The result of cytology of the lung mass was malignant spindle cell tumors consistent with malignant schwannoma located in cervical spine. The course of metastases might be hematogenous due to direct vascular invasion of tumor.
Key Words: Spinal malignant schwannoma; Pulmonary metastases; Hematogenous
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