Kasahara Kei, Fukuoka Kazuya, Konishi Mitsuru, Hamada Kaoru, Maeda Koichi, Mikasa Keiichi, Kimura Hiroshi
Second Department of Internal Medicine, Nara Medical University, Kashihara, Nara.
Intern Med. 2003 Dec;42(12):1215-8. doi: 10.2169/internalmedicine.42.1215.
Neurilemmomas are benign tumors which originate from Schwann cells. They rarely occur in the trachea or bronchus. We encountered two cases of endobronchial neurilemmoma and in this context, reviewed 48 cases previously reported in Japan. Neurilemmomas can occur in all regions of the bronchial tree and they often progress into both intraluminal and extraluminal spaces. Incomplete resection results in a local recurrence, despite being rare. As for appropriate therapies, surgery, bronchofiberoptic removal and yttrium aluminum garnet (YAG) laser resection can be chosen depending on the patient's status.
神经鞘瘤是起源于施万细胞的良性肿瘤。它们很少发生于气管或支气管。我们遇到了两例支气管内神经鞘瘤,并在此背景下回顾了日本之前报道的48例病例。神经鞘瘤可发生于支气管树的所有区域,并且常向管腔内和管腔外生长。尽管局部复发很少见,但不完全切除会导致局部复发。至于合适的治疗方法,可根据患者情况选择手术、纤维支气管镜切除和钇铝石榴石(YAG)激光切除。