Upper Esophageal Schwannoma: Rare Differential Diagnosis of Dysphagia

  • Bigyan Acharya
  • Binay Thakur
  • Mukti Devkota
  • Greta Pandey
  • Anup Shrestha
  • Manish Chaudhary
Keywords: Esophagus, Schwannoma, VATS, Esophagectomy


Esophageal schwannomas are rare primary submucosal tumors, 45 cases have been reported so far. We herein
report the 46th case of an esophageal schwannoma from Nepal. A 60-year-old woman presented with progressive
dysphagia. Oesophago-Gastro-Duodenoscopy (OGD) showed a submucosal mass with mucosal puckering in the
upper esophagus; Computed tomography (CT) of the chest showed an upper esophageal mass of size 8x7x6cm3
compressing the trachea. Bronchoscopy showed external compression of the mid trachea. The patient underwent
three incision VATS esophagectomy. Histopathological examination and immunohistochemical (IHC) staining
confirmed the diagnosis of schwannoma.