Neurofibroma originating from the intrathoracic vagal nerve in a patient with von recklinghausen's disease.-a case report

Abstract

Neurofibroma originating from the intrathoracic vagal nerve is rare. We present a case of neurofibroma originating from the intrathoracic vagal nerve in a 39-year-old man with von Recklinghausen's disease admitted for an abnormal shadow on chest X-ray. Chest X-ray revealed a mass shadow in contact with aortic arch. Chest MRI revealed a mass shadow along the left vagal nerve. The patient underwent operation under the clinical diagnosis of neurogenic tumor originating from the intrathoracic vagal nerve. The tumor was located lengthways near the origin of recurrent nerve and was resected with a segment of the vagal nerve and recurrent nerve. The tumor measured 8×4×3cm, macroscopic cross section appearance of the tumor was milky-whitish and solid, and histological examination of the specimen revealed nurofibroma. There was no evidence of malignancy.