Massive hemoptysis caused by endobronchial schwannoma in a patient with neurofibromatosis 2

The American Journal of the Medical Sciences
Shihn-Rur ChenShi-Chuan Chang

Abstract

Neurogenic tumor of the lung is very uncommon. To the best of our knowledge, endobronchial schwannoma complicated by massive hemoptysis in a patient with neurofibromatosis 2 has not been reported previously. We report a case of endobronchial schwannoma complicated by massive hemoptysis in an 18-year-old man with neurofibromatosis 2. The diagnosis of neurofibromatosis 2 was established by demonstration of bilateral vestibular schwannomas on magnetic resonance imaging of the brain and pathologic examination of the resected brain tumors. Massive hemoptysis developed after surgical removal of the brain tumors in this patient. Bronchoscopy was done immediately after the first episode of hemoptysis and a tumor protruding from the orifice of the right lower lobe bronchus was found. Despite 2 additional bronchoscopies to stop bleeding and ameliorate airway obstruction in the consecutive 2 days, hemoptysis recurred rapidly and caused profound oxygen desaturation. The patient was subjected to right lower lobectomy and endobronchial schwannoma was evidenced pathologically.

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Citations

Apr 1, 2008·Advances in Therapy·Hakan PoyrazogluTümer Ulus
Mar 5, 2008·The American Journal of Surgical Pathology·Giulio RossiAlberto Cavazza
Oct 28, 2015·QJM : Monthly Journal of the Association of Physicians·N SrivaliJ H Ryu
Jan 18, 2015·Human Pathology·Jennifer M BolandAndrew L Folpe
Oct 9, 2007·Annals of Saudi Medicine·Ahmet BircanAhmed Akkaya
Dec 5, 2012·Journal of Bronchology & Interventional Pulmonology·Elaine DumoulinAlain Tremblay

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