Jahromi Mehdi Ghaderian, Yakhdani Abdolrahim Sadeghi, Saeedi-Moghadam Mahdi, Iranpour Pooya
Department of Radiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Radiol Case Rep. 2022 Aug 20;17(10):4043-4045. doi: 10.1016/j.radcr.2022.07.115. eCollection 2022 Oct.
Schwannomas are nerve sheath tumors that arise from Schwann cells and are mainly benign. The likelihood of endobronchial schwannoma amongst all intrapulmonary tumors is up to 0.2% and mainly presents late. This study described a pediatric endobronchial schwannomas case discovered incidentally during rigid bronchoscopy. This case is uncommon, and its report can help physicians diagnose the same cases. The case was a 7-year-old girl presenting with fever and cough who had no history of pulmonary disease or relevant family history. Physical examination, chest radiography, CT scan, and bronchoscopy were performed on the patient. A biopsy was taken from the observed mass obstructing the bronchus during bronchoscopy. The mass was resected. Pathology revealed low-grade spindle cell neoplasm and confirmed schwannoma in immunohistochemistry. Endobronchial schwannomas can happen in children presenting with simple symptoms. For benign lesions, the prognosis is generally good. Due to the slow growth of these tumors and the potential for recurrence after resection, long-term follow-up may be needed.
神经鞘瘤是起源于施万细胞的神经鞘肿瘤,主要为良性。在所有肺内肿瘤中,支气管内神经鞘瘤的发生率高达0.2%,且主要表现较晚。本研究描述了1例在硬支气管镜检查时偶然发现的小儿支气管内神经鞘瘤病例。该病例罕见,其报告有助于医生诊断相同病例。该病例为一名7岁女童,有发热和咳嗽症状,无肺部疾病史或相关家族史。对该患者进行了体格检查、胸部X线摄影、CT扫描和支气管镜检查。在支气管镜检查期间,从观察到的阻塞支气管的肿块处取了活检。肿块被切除。病理显示为低级别梭形细胞瘤,免疫组化确诊为神经鞘瘤。支气管内神经鞘瘤可发生于症状单纯的儿童。对于良性病变,预后通常良好。由于这些肿瘤生长缓慢且切除后有复发可能,可能需要长期随访。