Nass R L, Cohen N L
Arch Otolaryngol. 1979 Apr;105(4):220-1. doi: 10.1001/archotol.1979.00790160054014.
Neurilemomas of the tracheobronchial tree are exceedingly rare. In this article we report what is, to our knowledge, the 12th case--the third such case of tracheal origin. Clinical features are referable to airway obstruction and local pressure effects. The gross appearance is of an encapsulated lesion. Histologically, there is a proliferation of Schwann cells that are found in either an ordered, palisaded configuration (Antoni type A), or a disordered, loosely textured configuration (Antoni type B). The two types may coexist in a single lesion. Endoscopic removal of nonvascular tracheobronchial masses with follow-up, including periodic chest x-ray films, is advocated. Major surgery is reserved for malignant disease or benign disease not amenable to endoscopic excision.
气管支气管树的神经鞘瘤极为罕见。在本文中，据我们所知，我们报告了第12例——第三例起源于气管的此类病例。临床特征与气道阻塞和局部压迫效应有关。大体外观为包膜性病变。组织学上，施万细胞增生，呈有序的栅栏状结构（Antoni A型）或无序的疏松结构（Antoni B型）。这两种类型可在单个病变中同时存在。提倡通过内镜切除非血管性气管支气管肿物并进行随访，包括定期胸部X光片检查。重大手术仅用于恶性疾病或无法通过内镜切除的良性疾病。
