气道神经鞘瘤1例

目的 提高对气道神经鞘瘤的认识,减少对该病的误诊和漏诊.方法 回顾我院收治的1例气道神经鞘瘤患者的病历资料,探讨对该病的诊断及病变特点.结果 患者反复活动后气促1年,肺功能正常,胸部CT提示气道肿物.气管镜活检病理示气道慢性炎症.气管切开行肿物消融术,病理诊断为神经鞘瘤.结论 气道神经鞘瘤临床表现不特异,不易早期诊断,临床易漏诊延误诊断,手术切除仍是治疗气道神经鞘瘤最有效的方法.

Primary tracheal neurilemmoma:one case report

Objective To further investigate the pathogenesis of neurilemmoma and avoid misdiagnosis of neurilemmoma.Methods One case of tracheal neurilemmoma was reported,the diagnosis and features of neurilemmoma were discussed.Results The clinical manifestation of the patient was repeated shortness of breath after activities for one year.Lung function was normal.Chest CT showed airway tumor.Bronchoscopy biopsy revealed chronic airway inflammation.Tumor ablation was made after incision of trachea,pathological diagnosis result was neurilemmoma.Conclusions There are little of typical symptoms in neurilemmomas so that it is difficult to make early diagnosis,misdiagnosis always happens.Surgical resection is effective in the treatment of tracheal schwannoma.