A case of intratracheal schwannoma presenting at the emergency department with a diagnosis of asthmatic attack

J Emerg Med. 2010 Nov;39(5):589-91. doi: 10.1016/j.jemermed.2007.10.064. Epub 2008 Apr 24.

Abstract

Primary tumors of the tracheobronchial tree are rare, and benign tumors are even rarer. Patients with tracheobronchial tumors are at times wrongly diagnosed with asthma. A 77-year-old woman presented to our Emergency Department with increasing dyspnea and stridor. She had been treated for bronchial asthma for the last 7 years. Due to the presence of the stridor, a cervical soft tissue computed tomography scan was performed. It revealed a tracheal polyp at the level of the thyroidal isthmus. Polyp excision with rigid bronchoscopy was performed by a thoracic surgeon. This case demonstrates that intratracheal masses should be considered in patients with dyspnea and stridor or in patients with asthma refractory to usual treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Asthma / diagnosis*
  • Dyspnea / etiology
  • Emergency Service, Hospital
  • Female
  • Humans
  • Immunohistochemistry
  • Neurilemmoma / complications
  • Neurilemmoma / diagnosis*
  • Polyps / diagnosis*
  • Respiratory Sounds / etiology
  • S100 Proteins / metabolism
  • Tracheal Diseases / complications
  • Tracheal Diseases / diagnosis*
  • Tracheal Neoplasms / complications
  • Tracheal Neoplasms / diagnosis*
  • Vimentin / metabolism

Substances

  • S100 Proteins
  • Vimentin