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Tracheal schwannoma: a misleading entity
Abdul Latif Hamdan1, Roger V Moukarbel, Ayman Tawil
1Department of Otolaryngology-Head & neck Surgery, American University of Beirut Medical Center, Lebanon. alhamdan@svclb.com
Middle East Journal of Anaesthesiology
|April 17, 2010
Summary
Primary tracheal schwannomas are rare benign tumors, more common in females. Diagnosis is pathological, with surgical excision being the standard treatment for these non-specific presenting symptoms.
Area of Science:
- Oncology
- Pathology
- Pulmonology
Background:
- Primary tracheal tumors are rare, with malignant types predominating.
- Benign lesions, such as tracheal schwannomas, are even less common, representing <0.5% of all tracheal tumors.
- Tracheal schwannomas predominantly affect females and present with non-specific symptoms.
Observation:
- Clinical manifestations include chronic cough, progressive dyspnea, and asthma-like symptoms.
- Laryngotracheal endoscopy typically identifies a solitary, encapsulated mass, often on the posterior tracheal wall.
- Definitive diagnosis relies on pathological examination.
Findings:
- Tracheal schwannomas are rare, benign neoplasms.
- Symptoms are non-specific, mimicking other respiratory conditions.
- Endoscopic or surgical resection are effective treatments.
Implications:
- Increased awareness of tracheal schwannomas is vital for accurate pre-operative diagnosis in patients with stridor.
- Pathological confirmation is essential for appropriate management.
- Surgical intervention offers effective treatment for these rare tumors.
