Han Ding-Pei, Xiang Jie, Ye Zhi-Qiu, He Dan-Nong, Fei Xiao-Chun, Wang Chao-Fu, Che Jia-Ming, Hang Jun-Biao, Li He-Cheng
Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
Department of Pathology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
J Thorac Dis. 2017 Mar;9(3):E249-E252. doi: 10.21037/jtd.2017.02.85.
The rarity and non-specific symptoms of benign primary tracheal tumors always leaded to misdiagnosis and delayed treatment, and also undefined the optimal treatment. In this case, a 45-year-old woman had a history of progressive shortness of breath and dry cough for several years, CT scan revealed an intra-luminal tracheal mass invaded the left side of tracheal wall. After being located by bronchoscope preoperatively, the tumor was removed by surgical resection. The tumor was 1.5 cm in diameter with intact capsule. The pathological result confirmed the diagnosis of schwannoma.
良性原发性气管肿瘤的罕见性及非特异性症状常导致误诊和治疗延误,同时也无法确定最佳治疗方案。在本病例中,一名45岁女性有进行性气短和干咳数年的病史,CT扫描显示气管腔内肿物侵犯气管壁左侧。术前经支气管镜定位后,手术切除肿瘤。肿瘤直径1.5 cm,包膜完整。病理结果确诊为神经鞘瘤。