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气管支气管神经鞘瘤:病例报告及文献复习。

Tracheobronchial schwannoma: a case report and literature review.

机构信息

Department of Respiratory and Critical Care Medicine, Datong Third People's Hospital, Datong, Shanxi, China.

Department of Respiratory and Critical Care Medicine, The Chinese PLA General Hospital, Fuxing Road, Haidian District, Beijing, China.

出版信息

J Int Med Res. 2023 Jan;51(1):3000605221149891. doi: 10.1177/03000605221149891.

Abstract

Primary tracheobronchial schwannoma is extremely rare. A woman in her early 60 s was admitted to our department with a 2-month history of cough and expectoration. Chest computed tomography (CT) revealed a high-density nodule at the opening of the right main bronchus, accompanied by atelectasis in the middle and lower lobes. Flexible bronchoscopy revealed a tumor at the opening of the bronchus of the right middle lung lobe, which protruded into the main bronchus. A high-frequency electrosurgical snare, endobronchial cryosurgery, and argon plasma coagulation (APC) were used under rigid bronchoscopy. Histopathological examination diagnosed the tumor as schwannoma. The patient's symptoms resolved after the operation. Follow-up chest CT showed that the right main bronchus was unobstructed, and the bronchus of the lower lobe was open. Bronchoscopic interventional therapy is an alternative treatment for tracheobronchial schwannoma.

摘要

原发性气管支气管神经鞘瘤极为罕见。一位 60 岁出头的女性因咳嗽、咳痰 2 个月而到我科就诊。胸部 CT 显示右主支气管开口处有一高密度结节,伴中叶和下叶肺不张。纤维支气管镜检查发现右肺中叶支气管开口处有一肿瘤,向主支气管内突出。在硬质支气管镜下使用高频电圈套、支气管内冷冻疗法和氩等离子凝固术进行治疗。组织病理学检查诊断为神经鞘瘤。术后患者症状缓解。随访胸部 CT 显示右主支气管通畅,下叶支气管开放。支气管镜介入治疗是气管-支气管神经鞘瘤的一种替代治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a51e/9893080/f549eeabc3c5/10.1177_03000605221149891-fig1.jpg

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