Evidence map›Paper›PMID 42483555›Full record

ArticleJournal of surgical case reports2026

Preoperative diagnosis of middle mediastinal vagal schwannoma enabling nerve preservation: a case report.

Nozomi Hatanaka, Ryusei Yoshino, Miku Tamiya, Takumi Inao, Kengo Takahashi, Akane Ito, Shunsuke Yasuda, Masahiro Kitada

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nozomi HatanakaDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.
Ryusei YoshinoDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.ORCID https://orcid.org/0000-0002-6904-7267
Miku TamiyaDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.
Takumi InaoDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.
Kengo TakahashiDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.
Akane ItoDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.
Shunsuke YasudaDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.
Masahiro KitadaDepartment of Thoracic Surgery, Asahikawa Medical University Hospital, 078-8510, 2-1-1-1 Midorigaoka Higashi, Asahikawa, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Middle mediastinal schwannomas are rare and can mimic malignant mediastinal tumours, making preoperative diagnosis challenging. A 52-year-old woman presented with persistent cough refractory to medical treatment. Chest computed tomography revealed a well-defined 35 × 26 mm mass in the right middle mediastinum, and 18F-fluorodeoxyglucose positron emission tomography showed increased uptake with a maximum standardized uptake value of 8.8. Endobronchial ultrasound-guided transbronchial needle aspiration was performed, and histological examination revealed S-100-positive spindle-shaped cells with a low Ki-67 labeling index, leading to a diagnosis of schwannoma. Based on the tumour location and pathological diagnosis, the cough was considered attributable to vagal nerve irritation. Thoracoscopic tumour resection was performed with careful preservation of the vagal nerve. The cough resolved promptly after surgery, and no recurrence was observed during 1 year of follow-up. Preoperative pathological diagnosis was useful for planning a nerve-preserving surgical strategy.

Indexed as

endobronchial ultrasound-guided transbronchial needle aspirationmiddle mediastinal tumournerve-preserving surgerythoracoscopic surgeryvagal schwannoma

Identifiers

PMID42483555
PMCPMC13387436

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