[A case of bronchial neurinoma treated with bronchofiberscopic electrosurgery and right S6 sleeve segmentectomy]

A 30-year-old woman was admitted for cough and fever over a period of two months. Her chest X-ray film showed atelectasis of the right middle and lower lobes. Bronchofiberscopic examination revealed complete obstruction of the truncus intermedius by polypoid tumor. Its punched biopsy specimen was diagnosed as the benign tumor. Bronchofiberscopic resection was performed by high frequency snare, however the tumor remained at the membranous portion of the truncus intermedius and the right B6 orifice. Therefore, right S6 sleeve segmentectomy was carried out after two weeks. The pathological diagnosis of the exturpated tumor was neurinoma. There were no complications and she is well without any evidence of recurrence after surgery. Neurinoma of the tracheobronchial tree is extremely rare and only 84 cases have been reported.