Examinando por Autor "Santillán Riofrío, Odalis Isabel"
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- ÍtemSolo MetadatosTumor del mediastino posterior con resolución quirúrgica mediante cirugia torácica video asistida. Reporte de caso(Universidad Católica de Cuenca., 2023) Santillán Riofrío, Odalis Isabel; Astudillo Bravo, Katherine; 1105073462Introduction: Neurogenic tumors comprise approximately 80% of all tumors of the posterior mediastinum; Schwannoma is one of the primary carcinomas affecting this area and is a benign encapsulated spindle cell growth arising from the Schwann cells of the nerve sheath. Case report: A 59-year-old female patient with a history of arterial hypertension was consulted for right unilateral dorsalgia in the back region with an evolution time of one year. Chest X-ray showed the presence of a nodular lesion in the right pericardiac posterior mediastinum, so complementary studies were performed, after which surgical exeresis was performed. The surgical specimen was analyzed microscopically, and a diagnosis of Schwannoma with simplistic changes was made. No evidence of recurrence has been reported after five months of follow-up. Conclusion: Mediastinal tumors include a broad spectrum of malignant and benign pathologies; among them, Schwannoma is the main neurogenic tumor affecting the superior mediastinum. Although most patients are asymptomatic initially, complete excision of the lesion is recommended for microscopic examination to rule out malignancy. Patients with tumors without intraspinal extension can be treated with an open or thoracoscopic approach; video-assisted thoracic surgery being one of the most used techniques