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April 1979

Neurilemoma of the Trachea

Author Affiliations

From the Department of Otolaryngology, New York University Medical Center, New York.

Arch Otolaryngol. 1979;105(4):220-221. doi:10.1001/archotol.1979.00790160054014

• Neurilemomas of the tracheobronchial tree are exceedingly rare. In this article we report what is, to our knowledge, the 12th case—the third such case of tracheal origin.

Clinical features are referable to airway obstruction and local pressure effects. The gross appearance is of an encapsulated lesion. Histologically, there is a proliferation of Schwann cells that are found in either an ordered, palisaded configuration (Antoni type A), or a disordered, loosely textured configuration (Antoni type B). The two types may coexist in a single lesion.

Endoscopic removal of nonvascular tracheobronchial masses with follow-up, including periodic chest x-ray films, is advocated. Major surgery is reserved for malignant disease or benign disease not amenable to endoscopic excision.

(Arch Otolaryngol 105:220-221, 1979)

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