Oxner Christopher R, Shinners Michael J, Godin David A, Lyn Ian T, Brent R Butcher, McFadden P Michael
Department of Surgery, Ochsner Clinic Foundation, New Orleans, USA.
J La State Med Soc. 2005 May-Jun;157(3):159-61.
Endotracheal and endobronchial schwannomas are extremely rare tumors of neurogenic origin. These tumors often present late. Common symptoms of hemoptysis and dyspnea result from the size and location of the tumors. Two cases of tracheobronchial schwannoma with proximal airway obstruction are reported. Various diagnostic modalities employed in the evaluation of these tumors are reviewed. Because malignant transformation is exceedingly rare, operative resection of tracheobronchial schwannomas based on the principle of conservation of lung parenchyma is emphasized.
气管内和支气管内神经鞘瘤是极为罕见的神经源性肿瘤。这些肿瘤通常出现较晚。咯血和呼吸困难等常见症状是由肿瘤的大小和位置所致。本文报告了两例伴有近端气道阻塞的气管支气管神经鞘瘤病例。对评估这些肿瘤所采用的各种诊断方法进行了综述。由于恶性转化极为罕见,强调基于保留肺实质原则对气管支气管神经鞘瘤进行手术切除。