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支气管内神经鞘瘤伴右下叶阻塞性支气管扩张和机化性肺炎:一例报告

Intrabronchial schwannoma with right lower lobe obstructive bronchiectasis and organizing pneumonia: A case report.

作者信息

Lu Bo-Hsiang, Jiang You-Cheng, Liang Jang-Shian, Tsai Ping-Chung, Tang En-Kuei

机构信息

Division of Thoracic Surgery, Department of Surgery Kaohsiung Veterans General Hospital Kaohsiung Taiwan.

Division of Chest Medicine, Department of Internal Medicine Kaohsiung Veterans General Hospital Kaohsiung Taiwan.

出版信息

Respirol Case Rep. 2024 Oct 7;12(10):e70044. doi: 10.1002/rcr2.70044. eCollection 2024 Oct.

Abstract

We present the case of a 60-year-old female patient with no prior history of any systemic disease. She suffered from a prolonged cough that lasted more than 3 months, associated with poor appetite and weight loss of 5 kg. The pathology report of the pre-operative transbronchial needle biopsy was consistent with a neurogenic tumour. Chest computed tomography (CT) revealed a right lower lobe (RLL) mass-like consolidation of 8.67 cm with obstructive pneumonitis and suspicious posterior mediastinal invasion. The tumour was surgically resected with bronchial reconstruction, and the pathological diagnosis was intrabronchial schwannoma located inside the bronchus, a rare tumour that should be included as one of the differential diagnoses of primary bronchial tumours. The possibility of a surgical completed resection should be considered in patients with airway obstruction symptoms.

摘要

我们报告一例60岁女性患者,既往无任何全身性疾病史。她长期咳嗽持续超过3个月,伴有食欲减退和体重减轻5千克。术前经支气管针吸活检的病理报告与神经源性肿瘤相符。胸部计算机断层扫描(CT)显示右下叶(RLL)有一个8.67厘米的肿块样实变,伴有阻塞性肺炎和可疑的后纵隔侵犯。肿瘤通过支气管重建手术切除,病理诊断为位于支气管内的支气管内施万细胞瘤,这是一种罕见肿瘤,应作为原发性支气管肿瘤的鉴别诊断之一。对于有气道阻塞症状的患者,应考虑手术完全切除的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e35a/11456806/5d697e6369cf/RCR2-12-e70044-g004.jpg

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