Reviewing Schwannoma-Hemangioma Composite Tumors With Their Tumorigenetic Molecular Pathways and Associated Syndromic Manifestations

A Schwannoma-Hemangioma Composite Tumor as a Very Uncommon Cause of a Chest Wall Tumor in a Teenage Patient: A Case Report

Schwannoma-hemangioma composite tumors are extremely rare, with most cases described in the head and neck of adult patients. Pediatric cases involving the chest wall have not been widely reported and, therefore, present diagnostic and therapeutic challenges. We describe the case of a 14-year-old male patient who presented with a painless nodular lesion on the chest wall. After imaging studies and laboratory analysis, the consulting oncologist recommended the surgical removal of the tumor due to the indeterminate nature of the lesion. Histopathologic analysis of the excised tissue confirmed a composite schwannoma-hemangioma tumor. The patient recovered uneventfully postoperatively with no recurrence or complications at the three-month follow-up. This case highlights the importance of considering rare composite tumors in the differential diagnosis of pediatric chest wall lesions. Accurate histopathologic evaluation is essential for optimal management. Further case reports are needed to improve the understanding of the etiology and clinical behavior of such tumors.