Severe main bronchus obstruction due to pulmonary schwannoma: A Case Report

Ahmad Shirinzadeh; Reza Ershadi; Abdolhamid Amouei; Jamal Jafari; Hamidreza Soltani; Shadi Kargar; Fariba Binesh

doi:10.18502/ijpho.v12i2.9079

Ahmad Shirinzadeh Department of General Surgery, Shahid Sadoughi University of medical sciences and health services, Yazd, Iran
Reza Ershadi Department of General Surgery, Shahid Sadoughi University of medical sciences and health services, Yazd, Iran
Abdolhamid Amouei Pediatrician Neonatologist, Isfahan University of Medical Sciences, Isfahan, Iran.
Jamal Jafari Department of General Surgery, Shahid Sadoughi University of medical sciences and health services, Yazd, Iran
Hamidreza Soltani Department of General Surgery, Shahid Sadoughi University of medical sciences and health services, Yazd, Iran
Shadi Kargar Department of General Surgery, Shahid Sadoughi University of medical sciences and health services, Yazd, Iran
Fariba Binesh Department of Pathology, Shahid Sadoughi University of medical sciences and health services, Yazd, Iran

DOI: https://doi.org/10.18502/ijpho.v12i2.9079

Keywords: Bronchus, Pulmonary schwannoma, Obstruction

Abstract

Pulmonary schwannoma is a rare neoplasm that arises from peripheral nerve sheath, Schwann cells, in the lungs and mostly remains asymptomatic for months. This report presents a seven-year-old female patient with an occasional cough and fever. She was hospitalized due to the lack of response to outpatient treatments, including antibiotics and antifebrile. A biopsy was taken from the mass by bronchoscopy, and the pathology report indicated the presence of a low-grade spindle cell, Verocay body, and Antoni B areas. Based on the pathologic findings, immunohistochemical (IHC) analysis was requested. The results indicated diffusely positive for S-100 protein, and accordingly, the diagnosis of schwannoma was confirmed. Thoracotomy and lobectomy were performed. Tracheobronchial schwannoma can be treated with surgical resection or bronchoscopy.