Treatment of primary tracheal schwannoma with endoscopic resection: A case report

Shen, Yong-Shuai; Xiang, Tian; Pan, Yi; Li, Hua

doi:10.12998/wjcc.v10.i28.10279

Cited by 2 publications

(5 citation statements)

References 16 publications

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“…Among those surgery-applied cases, 13 trachea-located schwannomas were treated with tracheotomy ( 14 , 18 , 21 - 23 , 36 - 38 , 43 , 47 , 53 , 54 , 59 ), 14 bronchus-located schwannomas received surgeries including pneumonectomy, lobectomy, segmentectomy, or bronchial resection ( 3 , 16 , 19 , 24 - 27 , 35 , 39 , 40 , 42 , 45 , 46 , 52 ). Others received endoscopic interventions as primary treatments or follow-up ( 7 , 13 , 15 , 17 , 20 , 28 - 34 , 41 , 44 , 48 - 51 , 55 - 58 ). Notably, recurrence was observed in six endoscopic intervention cases, but not reported in the surgery group.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted minimally invasive bronchial resection with primary anastomosis for schwannoma arising from left main bronchus: a case report

Yan,

Jin,

Chen

et al. 2024

Transl Lung Cancer Res

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Background Tracheobronchial schwannomas are extremely rare, which account for lower than 0.2% in all pulmonary tumors. In large part because of the rarity and insufficient reported clinical details, tracheobronchial schwannoma lacks guidelines or expert consensus for diagnosis and treatment, and the delay in diagnosis can range from months to years. The main treatment option is surgery. Endoscopic intervention can also be selected. An increasing number of thoracic surgery cases were performed on the robotic platforms in recent years. With their assistance, surgeons can accomplish the high technique required surgical procedures with ease. Case Description In this case, a 48-year-old female had a history of shortness of breath for more than 1 year. The chest computed tomography (CT) and bronchoscopy examination revealed a new growth of nodule in the left main bronchus. The nodule was considered a schwannoma by transbronchial biopsy, which was removed by robot-assisted bronchial resection with primary anastomosis. The application of Da Vinci Si robotic surgical system benefited the process of this surgery. Pathology and immunohistochemistry results confirmed the diagnosis of schwannomas. The patient tolerated the treatment without any complications. No sign of recurrence was discovered at present, 6 months after the intervention. Conclusions We reported the first sleeve resection for bronchial schwannoma using Da Vinci robotic surgical system. The clinical details of tracheobronchial schwannoma should be revealed more specifically to achieve more systematic diagnosis and treatment.

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Section: Discussionmentioning

confidence: 99%

Robot-assisted minimally invasive bronchial resection with primary anastomosis for schwannoma arising from left main bronchus: a case report

Yan,

Jin,

Chen

et al. 2024

Transl Lung Cancer Res

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“…Schwannoma arises from the peripheral nerve sheath; it is less common than neurofibroma [5]. Between 2015 and 2022, 10 cases of primary tracheal schwannoma were reported in English-language literature [3,4,[6][7][8][9]. It is a benign tumor that is more commonly seen in the distal one-third of the trachea, followed by the upper one-third and then the middle one-third of the trachea [2].…”

Section: Discussionmentioning

confidence: 99%

“…APPROVED GALLEY PROOF However, it is not suitable for long segmental tracheal resection [17]. Reports of the use of endoscopic excision of this tumor have increased in recent literature [3]. The endoscopic approach includes laser resection, electrocautery snaring, argon plasma coagulation, cryotherapy, endoscopic excision, microdebridement, and high frequency gamma knife [2,3].…”

Section: Discussionmentioning

confidence: 99%

“…Reports of the use of endoscopic excision of this tumor have increased in recent literature [ 3 ]. The endoscopic approach includes laser resection, electrocautery snaring, argon plasma coagulation, cryotherapy, endoscopic excision, microdebridement, and high frequency gamma knife [ 2 , 3 ]. Chen et al [ 18 ] described a different approach using video-assisted thoracoscopic window resection with a good postoperative outcome.…”

Section: Discussionmentioning

confidence: 99%

“…However, as it grows, it presents with obstructive symptoms of the tracheal lumen. This tumor was managed by open resection surgery until recently, when endoscopic excision began being used [1][2][3][4]. We present a rare case of primary tracheal schwannoma that was managed by endoscopic excision.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Excision of Primary Tracheal Schwannoma: A Case Report

Alkhars¹,

Muhaimid

Abdulwahid

et al. 2023

Am J Case Rep

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Objective:Rare disease Background:Primary tracheal schwannoma is a rare neurogenic tumor. Early stage presents with nonspecific symptoms, and asthma is sometimes misdiagnosed. However, as the tumor grows, it presents with obstructive symptoms of the tracheal lumen. This tumor has been managed by open resection surgery until recently, when endoscopic excision became an option. The endoscopic excision reduces complications, operative time, and postoperative recovery period and is indicated in nonrecurrent surgical cases in which tumors are up to 2 cm in size, are pedunculated, and have no extratracheal extension, or in cases of poor cardiopulmonary status. We present a rare case of primary tracheal schwannoma managed by endoscopic excision. Case Report:A 37-year-old man was referred to our clinic with progressive shortness of breath and wheezing that started 3 months prior to presentation. Computed tomography showed a well-defined rounded, solid intraluminal tracheal mass at the proximal segment (at the level of the thoracic inlet). There was no extratracheal extension or enlarged cervical lymph nodes. The patient underwent endoscopic excision of the mass. A sickle knife, micro scissor, and suction diathermy were used for incision, stripping, and hemostasis done through the tumor pedicle. The first postoperative visit after 2 weeks showed subjective symptom improvement, and the flexible bronchoscope showed a completely healed surgical site with patent airway. Histopathological examination and immunohistochemistry confirmed the diagnosis of primary tracheal schwannoma. Conclusions:Primary tracheal schwannoma is rare. An endoscopic excision is an excellent option, but patients need to be appropriately selected and followed up to avoid recurrence.

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Treatment of primary tracheal schwannoma with endoscopic resection: A case report

Cited by 2 publications

References 16 publications

Robot-assisted minimally invasive bronchial resection with primary anastomosis for schwannoma arising from left main bronchus: a case report

Robot-assisted minimally invasive bronchial resection with primary anastomosis for schwannoma arising from left main bronchus: a case report

Endoscopic Excision of Primary Tracheal Schwannoma: A Case Report

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