%0 Journal Article %T Schwannoma presenting as an apical thoracic tumour with upper extremity symptoms %A Charalampos Markakis %A Eleutherios Spartalis %A Mavroudis Voultsos %A Panorea Paraskeva %J Pneumon %D 2010 %I Hellenic Thoracic Society & Hellenic Bronchologic Society %X SUMMARY. The case of an apical tumour in the thorax, which presented with upper extremity symptoms, is reported. Surgery was performed and a diagnosis was established of a neurogenic mediastinal tumour, a schwannoma, compressing the T1 nerve root. This case illustrates the need for the thoracic surgeon to consider a brachial plexus or upper thoracic nerve root tumour when evaluating a patient with neurological upper extremity symptoms. Adequate preoperative evaluation is essential in such cases to enable the thoracic surgeon to select the best surgical approach, sometimes aided by a neurosurgical team. Emphasis is placed on the difficulties faced by the surgeon when exposing a tumour complicated by its localization in the superior mediastinum and which is anatomically linked with delicate nerve fascicles. Pneumon 2010, 23(4):380-383. %K schwannoma %K mediastinum %K upper extremity symptoms %U http://www.pneumon.org/842/newsid844/362