International journal of surgery case reports · 2025
Tracheal schwannoma: A pseudo-asthmatic syndrome with successful laser Nd-YAG resection as first-line therapy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Nakhal Ranim, Ahmad Raneem, Ibrahim Bassel, Haddad Sultaneh, Abbas Arabi, Abbas Nizar
Аннотация
INTRODUCTION: Neurogenic tumors like schwannoma are sporadic in less than 0.5 % of primary tracheal tumors (PTT). Schwannoma can be misdiagnosed with asthma because of nonspecific symptoms such as wheezing, coughing, or dyspnea.
CASE PRESENTATION: A 39-year-old woman presents to the emergency department with severe dyspnea at rest and needs oxygenation. Rigid Bronchoscopy revealed an intratracheal white pedunculated lesion with visible vessels. A frozen section's result was benign Showannoma. Nd-YAG Laser was performed to melt the tumor, and then the lesion was swept away. After that, the Nd-YAG laser was used to remove tumor remnants.
DISCUSSION: Our case emphasizes that rigid bronchoscopy with Nd-YAG laser resection was a very successful tool for managing schwannoma, and bronchoscopic surveillance showed No Recurrence as the benign nature of pedunculated schwannoma without an extratracheal component.
CONCLUSION: Awareness of the possibility of schwannoma as a primary tracheal tumor is important, although it is phenomenal, it can cause pseudo-asthmatic status because it has non-specific symptoms.
CASE PRESENTATION: A 39-year-old woman presents to the emergency department with severe dyspnea at rest and needs oxygenation. Rigid Bronchoscopy revealed an intratracheal white pedunculated lesion with visible vessels. A frozen section's result was benign Showannoma. Nd-YAG Laser was performed to melt the tumor, and then the lesion was swept away. After that, the Nd-YAG laser was used to remove tumor remnants.
DISCUSSION: Our case emphasizes that rigid bronchoscopy with Nd-YAG laser resection was a very successful tool for managing schwannoma, and bronchoscopic surveillance showed No Recurrence as the benign nature of pedunculated schwannoma without an extratracheal component.
CONCLUSION: Awareness of the possibility of schwannoma as a primary tracheal tumor is important, although it is phenomenal, it can cause pseudo-asthmatic status because it has non-specific symptoms.