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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Endobronchial neurinoma treated with left lower lobectomy]
N Katsuragi1, Y Shiraishi, H Kita
1Section of Chest Surgery, Fukujuji Hospital, Kiyose, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 20, 2007
Summary
This case report details a rare endobronchial neurinoma, a benign lung tumor, successfully treated with surgery. The patient recovered well, showing no recurrence of this rare bronchial tumor.
Area of Science:
- Pulmonology
- Surgical Oncology
- Pathology
Background:
- Benign endobronchial tumors are uncommon.
- Endobronchial neurinoma is an exceptionally rare subtype of benign lung tumor.
Observation:
- A 58-year-old male presented with persistent cough and left lower lobe pneumonia, initially suspected as lung cancer.
- Imaging revealed a left main bronchus mass causing significant obstruction.
- Bronchial biopsy was inconclusive, showing necrotic tissue and fungal elements.
Findings:
- Pathological diagnosis confirmed a 4 cm endobronchial neurinoma arising from the left basal bronchus.
- Immunohistochemistry showed S-100 protein positivity and negative alpha-smooth muscle actin.
- The patient underwent successful left lower lobectomy and received 6 months of antifungal therapy.
Implications:
- Surgical resection is an effective treatment for endobronchial neurinoma.
- This case highlights the importance of considering rare diagnoses even with initial suspicion of malignancy.
- Long-term follow-up confirmed no recurrence of this rare endobronchial tumor.
