title: [Tracheal tumor treated as asthma].
abstract: Primary tumors of the trachea are very rare. In adults, the majority of them are malignant. Schwannomas are exceedingly rare benign tumors in the tracheobronchial tree. We report a case of a 37-year-old man who was hospitalized for increasing dyspnea. He had been treated for bronchial asthma for the last 4 years with no benefit. The CT scan of the chest and bronchoscopy identified a tracheal mass that was prolapsed in the left stem bronchus. The patient did not remain free of disease after endoscopic laser resection. So, surgical resection was made. The tumor was excised at its base. A segment of the left stem bronchus was removed and primary anastomosis was performed. The histopathologic diagnosis was of a benign schwannoma without malignant elements. There was no recurrence during the follow-up period. This case demonstrates that intratracheal masses should be considered in patients with dyspnea or in patients with asthma refractory to conventional therapy.
authors.affiliation: Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie. Electronic address: kaddour1fr@yahoo.fr.
authors.forename: A
authors.initials: A
authors.lastname: Ayadi-Kaddour
authors.affiliation: Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Khadhar
authors.affiliation: Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie.
authors.forename: M
authors.initials: M
authors.lastname: Mlika
authors.affiliation: Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie.
authors.forename: O
authors.initials: O
authors.lastname: Ismail
authors.affiliation: Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie.
authors.forename: E
authors.initials: E
authors.lastname: Braham
authors.affiliation: Service de chirurgie thoracique, hôpital Abderrahmen Mami, Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Marghli
authors.affiliation: Service de radiologie, hôpital Abderrahmen Mami, Ariana, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Zidi
authors.affiliation: Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie.
authors.forename: F
authors.initials: F
authors.lastname: El Mezni
mesh_terms: D000328:Adult; D001249:Asthma / Q000628:therapy*; D001999:Bronchoscopy; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009442:Neurilemmoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014134:Tracheal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*
keywords: Asthmatic attack; Crise d’asthme; Endoscopic resection; Primary tracheal tumor; Résection endoscopique; Schwannoma; Schwannome; Tumeur trachéale primitive