Shen YS, Tian XD, Pan Y, Li H. Treatment of primary tracheal schwannoma with endoscopic resection: A case report. World J Clin Cases 2022; 10(28): 10279-10285 [PMID: 36246804 DOI: 10.12998/wjcc.v10.i28.10279]
Corresponding Author of This Article
Hua Li, MD, Doctor, Department of Endoscopy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, North Huanhu West Road, Sports Institute, Hexi District, Tianjin 300060, China. lihuatjmuch@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 6, 2022; 10(28): 10279-10285 Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10279
Treatment of primary tracheal schwannoma with endoscopic resection: A case report
Yong-Shuai Shen, Xiang-Dong Tian, Yi Pan, Hua Li
Yong-Shuai Shen, Department of Endoscopy, Tianjin Cancer Hospital Airport Hospital, Tianjin 300000, China
Xiang-Dong Tian, Department of Endoscopy, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China
Yi Pan, Department of Pathology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
Hua Li, Department of Endoscopy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, Tianjin 300060, China
Author contributions: Li H and Shen YS designed the report and wrote the manuscript; Tian XD provided manuscript recommendations; Pan Y collaborated with pathologists at our hospital to determine the pathological diagnosis; Manuscript was read and approved by all authors.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua Li, MD, Doctor, Department of Endoscopy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin’s Clinical Research Center for Cancer, North Huanhu West Road, Sports Institute, Hexi District, Tianjin 300060, China. lihuatjmuch@163.com
Received: May 15, 2022 Peer-review started: May 15, 2022 First decision: June 8, 2022 Revised: June 21, 2022 Accepted: August 25, 2022 Article in press: August 25, 2022 Published online: October 6, 2022 Processing time: 134 Days and 22.8 Hours
Abstract
BACKGROUND
Schwannoma is a benign tumor originating from the peripheral nerve sheath. The clinical symptoms of tracheal schwannoma depend on the location of the tumor, and the most common clinical symptoms are cough and hemoptysis. The most effective treatment for benign tumors is complete resection of the primary lesion at an early stage. Our experience has demonstrated that primary tracheal schwannoma can be safely excised with a high-frequency electric knife in a minimally invasive manner.
CASE SUMMARY
We report a 61-year-old asymptomatic woman who underwent chest computed tomography (CT), which accidentally found an intraluminal tracheal mass without enlarged lymph nodes. Then, the patient underwent bronchoscopy, which found that the tracheal mass originated from the left wall of the upper trachea, was less than 1.5 cm in size, immovable, smooth and 4 cm away from the vocal cord, resulting in partial upper respiratory tract obstruction. Treatment was performed using an endoscopic resection for en bloc removal of the tracheal mass. The diagnosis was primary tracheal schwannoma. A follow-up was performed after endoscopic surgery, and bronchoscopy and thoracic CT were used to monitor whether there was a recurrence. At present, there is no evidence of recurrence, and the patient had a good quality of life. Endoscopic resection may be effective and safe in the treatment of primary tracheal schwannoma.
CONCLUSION
Primary tracheal schwannoma is a very rare benign tumor. In this case, we cured it by complete endoscopic resection.
Core Tip: We report a case diagnosed with primary tracheal schwannoma using endoscopic resection. Primary tracheal schwannoma is an extremely rare benign tumor of trachea. To the best of our knowledge, only a few cases have previously been reported. Cough and hemoptysis are common in this disease, but many patients are misdiagnosed as having asthma. Our experience shows that primary tracheal schwannoma can be safely and completely resected by a high-frequency electric knife in a minimally invasive manner.
