[Malignant schwannoma of the trachea].
Malignant schwannoma of the trachea is a rarity among the infrequent neurogenic tumours of the cervical region. Only individual cases have been described in the literature to date. A 30-year-old patient came to us with acute dyspnoea. A bronchoscopy showed a polypoid-stemmed tumour, which was removed using a loop. Histologically, it was a malignant neurogenic tumour of a low-grade schwannoma nature. A tracheal segment resection was carried out to remove the tumour completely. Six years after the operation, the patient was still recurrence-free. The prognosis depends on whether a high or low grade malignant schwannoma is present. The histological grading of the neurogenic peripheral neurilemmoma is made depending on a number of histological parameters and is often rather difficult. Specialists agree that only the radical surgical removal of the tumour might lead to patient's recovery. Adjuvant measures like chemo- or radiotherapy do not significantly prolong the life expectancy.
Neumann
K
K
Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie, Martin-Luther-Universität Halle-Wittenberg. kerstin.neumann@medizin.uni-halle.de
Amm
S
S
Krause
U
U
Berghaus
A
A
D000328:Adult; D018572:Disease-Free Survival; D004724:Endoscopy; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000473:pathology; D009442:Neurilemmoma / Q000473:pathology* / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome
Malignes Schwannom der Trachea.