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Eur Arch Otorhinolaryngol. 2005 Feb;262(2):157-60. Epub 2004 Apr 2.

Primary tracheal schwannoma: one case report and a literature review.

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  • 1ENT Department, University Hospital, 38043, Grenoble Cedex 09, France.


We report a case of primary tracheal schwannoma causing symptoms of airway obstruction in a 51-year-old woman. There was no history of pulmonary disease. The patient had been coughing and suffering from progressive dyspnea for over 1 year. Medical treatment with bronchodilatators had no effect. Computerized tomography and bronchoscopy demonstrated a polypoid mass located inside the trachea's cervical segment, obstructing 50% of the lumen. A biopsy was not attempted because of the tumor's vascularity to avoid bleeding. Tracheal resection with primary anastomosis was performed. The diagnosis was confirmed with histological analysis. It revealed a benign neurogenic tumor of Schwann's cell origin. Schwannoma of the trachea is extremely rare. Only 23 cases have been reported previously. Most of them occur in adults (19/23, 82.6%) and are located in the lower trachea. They usually have a long natural history, causing symptoms only after they have attained a large size. The treatment of choice is surgical removal.

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