Yodonawa S, Mitsui K, Akaogi E, Onizuka M, Ishikawa S, Noro M
Department of Thoracic Surgery, Tsukuba University Hospital, Ibaraki, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Jun;44(6):820-5.
Neurinoma of the bronchial tree is extremely rare. We report a case of bronchial neurinoma involving a 21-year-old woman. The patient was admitted due to an abnormal shadow on chest X-ray, with cough and sputum production. Chest CT and MRI showed that the tumor arose from the left lower bronchus and bronchofiberscopic examination revealed complete obstruction of the lower bronchus by a polypoid tumor. A left lower lobectomy was performed based on the histological diagnosis of benign neurinoma and the postoperative course was uneventful. The tumor was 7.0 x 6.0 x 5.0 cm in size and had grown endobronchially without penetrating the bronchial wall. Pathological diagnosis was Antoni A type benign neurinoma. Since malignant or metastasized tumors have been reported in cases of tracheobronchial or intrapulmonary neurinoma, complete surgical resection of bronchial neurinomas should be performed.
支气管树神经鞘瘤极为罕见。我们报告一例累及一名21岁女性的支气管神经鞘瘤病例。该患者因胸部X光片出现异常阴影、伴有咳嗽和咳痰而入院。胸部CT和MRI显示肿瘤起源于左下支气管,支气管纤维镜检查发现息肉样肿瘤完全阻塞了下支气管。基于良性神经鞘瘤的组织学诊断进行了左下肺叶切除术,术后病程顺利。肿瘤大小为7.0×6.0×5.0厘米,沿支气管腔内生长,未穿透支气管壁。病理诊断为Antoni A型良性神经鞘瘤。由于气管支气管或肺内神经鞘瘤病例中曾有恶性或转移瘤的报道,因此应完整切除支气管神经鞘瘤。