Epidemiology

• Sex: M>F
• Age: usually presents between 30-50 y/o

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Physiology

• Benign endobronchial tumor probably of neural origin (probably from Schwann cells)
• Can occur in many organs

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Pathology

• Polygonal or spindle cells with granular cytoplasm

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Clinical Presentations

• Lung Nodule (see Lung Nodule or Mass, [[Lung Nodule or Mass]])
  • Epidemiology: rare presentation
  • Diagnosis
    • CXR/Chest CT: solitary nodule
• Endobronchial Lesion (see Obstructive Lung Disease, [[Obstructive Lung Disease]])
  • Epidemiology: 50 reported cases
  • Diagnosis
    • FOB: usually occur in larynx or main bronchi (multiple in 10% of cases)
      • EBB: usually diagnostic
  • Clinical
    • Wheezing
    • Cough
    • Hemoptysis
    • Recurrent infections
    • Atelectasis/Post-Obstructive Pneumonia

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Treatment

• Bronchoscopic Removal: occasionally possible
• Surgery: resection is advisable (especially for lesions >8 mm), due to propensity for local invasiveness and tendency to recur after limited excision

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References

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