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原发性气管神经鞘瘤:一种罕见疾病的综述——对其治疗与随访的当前认识

Primary tracheal schwannoma a review of a rare entity: current understanding of management and followup.

作者信息

Hamouri Shadi, Novotny Nathan M

机构信息

Department of General Surgery and Urology, Jordan University of Science and Technology, Faculty of Medicine, King Abdullah University Hospital, Irbid, 22110, Jordan.

Department of Surgery, Oakland University William Beaumont School of Medicine, Beaumont Health, 3535 W 13 Mile Rd. Ste 307, Royal Oak, MI, 48126, USA.

出版信息

J Cardiothorac Surg. 2017 Nov 28;12(1):105. doi: 10.1186/s13019-017-0677-2.

Abstract

BACKGROUND

Neurogenic tumors of the tracheobronchial tree are extremely rare and include neurofibroma and schwannoma. We report a case of primary recurrent tracheal schwannoma causing obstructive airway symptoms.

CASE PRESENTATION

A 60-year-old man presented with obstructive airway symptoms due to recurrent tracheal schwannoma. Due the recurrence, size of the tumor and low surgical risk, the patient was treated with tracheal resection.

CONCLUSION

Primary endotracheal neurogenic tumors are extremely rare, but one should consider them in the differential diagnosis of persistent upper airway symptoms. While endoscopic therapies recur nearly a quarter of the time, surgical resections do not have any recorded recurrences.

摘要

背景

气管支气管树的神经源性肿瘤极为罕见,包括神经纤维瘤和神经鞘瘤。我们报告一例引起气道梗阻症状的原发性复发性气管神经鞘瘤病例。

病例介绍

一名60岁男性因复发性气管神经鞘瘤出现气道梗阻症状。由于肿瘤复发、大小以及手术风险较低,该患者接受了气管切除术。

结论

原发性气管内神经源性肿瘤极为罕见,但在持续性上气道症状的鉴别诊断中应予以考虑。虽然内镜治疗近四分之一的时间会复发,但手术切除尚无复发记录。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5278/5706167/98915954ca39/13019_2017_677_Fig1_HTML.jpg

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