Primary intratracheal neurilemmoma in a 10-year-old girl: A case report

Abstract

BACKGROUND Tracheal tumors are relatively rare in adults and uncommon in children. Tracheal neurilemmoma is a rare condition in adults that usually affects middle-aged people, but it can also occur in children. Because the clinical presentation is nonspecific and insidious, diagnosis is often delayed. The most common symptoms in these patients are stridor or wheezing (especially positional) and cough. A few patients are misdiagnosed and mistakenly treated for asthma. CASE SUMMARY A 10-year-old girl was admitted to our unit with a 2-mo history of recurrent cough, dyspnea, and tachypnea. Her condition was more severe after exercise. Her symptoms progressed despite treatment with inhaled fluticasone/salmeterol. Flexible electronic laryngoscopy showed a red, smooth, and round mushroom-shaped mass in the trachea, about 1 cm below the vocal cords. The surface of the mass was covered with several small and discontinuous blood vessels. About 90% of the tracheal lumen was occupied by the mass. A multidisciplinary operation was performed. The surgically resected mass was diagnosed as benign neurilemmoma by immunohistochemical analysis. CONCLUSION Intratracheal neurilemmoma is fairly rare in children. The main symptoms include coughing, wheezing, and dyspnea. The tumor’s size, location, and degree of intratracheal and extratracheal invasion can be measured by chest computed tomography. The main treatment strategies used for tracheal neurilemmoma are surgical resection and endoscopic excision. Long-term follow-up is warranted for the evaluation of outcomes and complications.

A Twelve-Year-Old-Girl with Intra-Tracheal Mucous Gland Adenoma: A Case Report

“…Pathologically, MGAs consist of mucus-secreting components of tracheobronchial seromucinous glands, typically presenting as an endobronchial, multicystic, well-circumscribed tumor (10). The nonspecific nature of signs and symptoms can lead to misdiagnosis, with approximately half of the patients initially misdiagnosed with asthma, leading to delayed diagnosis and treatment (11).…”

Endoscopic Excision of Primary Tracheal Schwannoma: A Case Report

“…Schwannoma arises from the peripheral nerve sheath; it is less common than neurofibroma [5]. Between 2015 and 2022, 10 cases of primary tracheal schwannoma were reported in English-language literature [3,4,[6][7][8][9]. It is a benign tumor that is more commonly seen in the distal one-third of the trachea, followed by the upper one-third and then the middle one-third of the trachea [2].…”

Successful management of tracheal lobular capillary hemangioma with arterial embolization followed by electrosurgical snaring via flexible bronchoscopy in an 11-year-old boy: A case report and literature review

“…Although our department has rich experience in removing transbronchial tracheal tumors ( 23 , 24 ), there is a substantial risk of intraoperative hemorrhage dealing with the tracheal LCH. We confront the following challenges: ( 1 ) the large size of the tumor and the rich blood supply did not allow the resection with biopsy forceps; ( 2 ) the lesion was attached to the trachea wall, and the resection with laser or cryotherapy may be associated with a high risk of perforation [6].…”