A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy

We present a rare case of tracheal schwannoma, the first reported in Hong Kong, emphasizing the diagnostic challenges and treatment outcomes. A 54-year-old woman with respiratory symptoms underwent evaluations revealing a tracheal mass causing luminal narrowing. Emergency operation with rigid bronch...

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Main Authors: Ming Chiu Chan, Cheuk Cheung Derek Leung, Yu Hong Chan, Man Ying Ho, Chun Hoi Chen, Ching Man Ngai, Hiu Ching Christy Chan, Yiu Cheong Yeung
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2024/2961560
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author Ming Chiu Chan
Cheuk Cheung Derek Leung
Yu Hong Chan
Man Ying Ho
Chun Hoi Chen
Ching Man Ngai
Hiu Ching Christy Chan
Yiu Cheong Yeung
author_facet Ming Chiu Chan
Cheuk Cheung Derek Leung
Yu Hong Chan
Man Ying Ho
Chun Hoi Chen
Ching Man Ngai
Hiu Ching Christy Chan
Yiu Cheong Yeung
author_sort Ming Chiu Chan
collection DOAJ
description We present a rare case of tracheal schwannoma, the first reported in Hong Kong, emphasizing the diagnostic challenges and treatment outcomes. A 54-year-old woman with respiratory symptoms underwent evaluations revealing a tracheal mass causing luminal narrowing. Emergency operation with rigid bronchoscopy and cryoablation successfully removed the tumor. Follow-up bronchoscopies showed a gradual reduction in residual tumor size, with no evidence of recurrence after 3.5 years postoperation. Tracheal schwannomas are exceedingly rare, often resulting in delayed diagnosis. Clinicians should maintain a high suspicion of tracheal tumors in patients with unexplained respiratory symptoms. Spirometry and flow volume loop analysis aid in identifying upper airway obstruction. Rigid bronchoscopy is preferred for diagnosis and treatment, ensuring airway stability and obtaining tissue samples. Surgical resection remains the mainstay, but observation after endoscopic resection may be considered. This case highlights the successful management of tracheal schwannoma through endoscopic resection and cryoablation, emphasizing the need for further studies and case reports on this rare entity.
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publishDate 2024-01-01
publisher Wiley
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series Case Reports in Pulmonology
spelling doaj-art-d5d91cd7088c46e9be34a33cd202ec4d2025-02-03T05:29:35ZengWileyCase Reports in Pulmonology2090-68542024-01-01202410.1155/2024/2961560A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid BronchoscopyMing Chiu Chan0Cheuk Cheung Derek Leung1Yu Hong Chan2Man Ying Ho3Chun Hoi Chen4Ching Man Ngai5Hiu Ching Christy Chan6Yiu Cheong Yeung7Department of Medicine and GeriatricsDepartment of Medicine and GeriatricsDepartment of Medicine and GeriatricsDepartment of Medicine and GeriatricsDepartment of Medicine and GeriatricsDepartment of Medicine and GeriatricsDepartment of Medicine and GeriatricsDepartment of Medicine and GeriatricsWe present a rare case of tracheal schwannoma, the first reported in Hong Kong, emphasizing the diagnostic challenges and treatment outcomes. A 54-year-old woman with respiratory symptoms underwent evaluations revealing a tracheal mass causing luminal narrowing. Emergency operation with rigid bronchoscopy and cryoablation successfully removed the tumor. Follow-up bronchoscopies showed a gradual reduction in residual tumor size, with no evidence of recurrence after 3.5 years postoperation. Tracheal schwannomas are exceedingly rare, often resulting in delayed diagnosis. Clinicians should maintain a high suspicion of tracheal tumors in patients with unexplained respiratory symptoms. Spirometry and flow volume loop analysis aid in identifying upper airway obstruction. Rigid bronchoscopy is preferred for diagnosis and treatment, ensuring airway stability and obtaining tissue samples. Surgical resection remains the mainstay, but observation after endoscopic resection may be considered. This case highlights the successful management of tracheal schwannoma through endoscopic resection and cryoablation, emphasizing the need for further studies and case reports on this rare entity.http://dx.doi.org/10.1155/2024/2961560
spellingShingle Ming Chiu Chan
Cheuk Cheung Derek Leung
Yu Hong Chan
Man Ying Ho
Chun Hoi Chen
Ching Man Ngai
Hiu Ching Christy Chan
Yiu Cheong Yeung
A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy
Case Reports in Pulmonology
title A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy
title_full A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy
title_fullStr A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy
title_full_unstemmed A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy
title_short A Rare Case of Tracheal Schwannoma Successfully Treated With Endoscopic Resection and Cryoablation Under Rigid Bronchoscopy
title_sort rare case of tracheal schwannoma successfully treated with endoscopic resection and cryoablation under rigid bronchoscopy
url http://dx.doi.org/10.1155/2024/2961560
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