Primary tracheal schwannoma: one case report and a literature review

We report a case of primary tracheal schwannoma causing symptoms of airway obstruction in a 51-year-old woman. There was no history of pulmonary disease. The patient had been coughing and suffering from progressive dyspnea for over 1 year. Medical treatment with bronchodilatators had no effect. Comp...

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Veröffentlicht in:European archives of oto-rhino-laryngology 2005-02, Vol.262 (2), p.157-160
Hauptverfasser: RIGHINI, Christian Adrien, LEQUEUX, Thomas, LAVERIERRE, Marie-Hélène, REYT, Emile
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creator RIGHINI, Christian Adrien
LEQUEUX, Thomas
LAVERIERRE, Marie-Hélène
REYT, Emile
description We report a case of primary tracheal schwannoma causing symptoms of airway obstruction in a 51-year-old woman. There was no history of pulmonary disease. The patient had been coughing and suffering from progressive dyspnea for over 1 year. Medical treatment with bronchodilatators had no effect. Computerized tomography and bronchoscopy demonstrated a polypoid mass located inside the trachea's cervical segment, obstructing 50% of the lumen. A biopsy was not attempted because of the tumor's vascularity to avoid bleeding. Tracheal resection with primary anastomosis was performed. The diagnosis was confirmed with histological analysis. It revealed a benign neurogenic tumor of Schwann's cell origin. Schwannoma of the trachea is extremely rare. Only 23 cases have been reported previously. Most of them occur in adults (19/23, 82.6%) and are located in the lower trachea. They usually have a long natural history, causing symptoms only after they have attained a large size. The treatment of choice is surgical removal.
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subjects Airway Obstruction - etiology
Anastomosis, Surgical
Biological and medical sciences
Bronchoscopy
Female
Humans
Medical sciences
Middle Aged
Neurilemmoma - complications
Neurilemmoma - diagnostic imaging
Neurilemmoma - pathology
Otorhinolaryngology. Stomatology
Tomography, X-Ray Computed
Trachea - surgery
Tracheal Neoplasms - complications
Tracheal Neoplasms - diagnostic imaging
Tracheal Neoplasms - pathology
title Primary tracheal schwannoma: one case report and a literature review
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