Girard C, Chambonnière M-L, Vergnon J-M
Service de pneumologie et d'oncologie thoracique, Hôpital Nord, CHU de Saint-Etienne, 42055 Saint-Etienne Cedex 2, France.
Rev Mal Respir. 2004 Nov;21(5 Pt 1):983-8. doi: 10.1016/s0761-8425(04)71480-1.
Schwannomas are extremely rare benign tumours in the tracheo-bronchial tree.
A rigid bronchoscopy was performed in a fifty-six-year-old woman with clinical features of atypical asthma. It permitted total resection and histological examination of a tracheal tumour. It was identified as a benign schwannoma.
Using this case report as an illustration, and an analysis of the world literature, the clinical, investigative, histological and therapeutic aspects of tracheo-bronchial schwannoma are discussed. Dyspnoea seems to be the most frequent initial symptom. Investigations, including flexible bronchoscopy, failed to reach a diagnosis. In the past, thoracic surgery was the gold standard treatment, but nowadays, rigid bronchoscopy would be the first choice technique for endo-tracheal or endo-bronchial tumours allowing both histological analysis and complete resection.
