Abstract
A 46-year-old man visited our department with right flank pain and right hypochondralgia. CT and MRI of the chest revealed a dumbbellshaped tumor of the right posterior mediastinum growing into the vertebral canal through spinal foramens. We performed a one-staged combined approach operation safely. The tumor had originated from the sympathetic nerve tract. The pathological diagnosis was reported to be malignant shcwannoma. One year after the operation, local recurrence and lung metastases took place. Radiation and combination chemotherapy were tried. The recurrent tumors reduced their sizes to one-third in response to these treatments. A reoperation was followingly done through a postero-lateral thoracotomy when all tumors were removed. We should consider a multidisciplinary treatment, even for recurrent and/or metastatic lesions ocurring after initial surgery of a malignant shcwannoma.
