원발성(原發性) 기관(氣管) 신경섬유초종(神經纖維梢腫) 치험(治驗) 일례(一例)

A rare case of primary tracheal neurilemoma which was treated successfully by tracheal resection and anastomosis is reported. This case is a 51-year old Korean woman. who had 9 months history of cough, exertional dyspnea and recent aggravation of respiratory distress since 2 months prior to admission. Conventional symptomatic drug treatment and radiation therapy failed to give clinical relief and resection and anastomosis was done without difficulty. Postoperatively. pulmonary edema developed with unknown cause but was recovered on the third postoperative day without clinical problems. This is the first case in Korea and added as the 4th case of tracheal neurilemoma in yellow race population (3 cases are from Japan). So far 13 cases are reported in Caucasian population in the world literature (Horovitz et al. 1983). ; 저자들은 호흡곤란을 주소로 응급실을 통해 입원하여, 흉부 전산단층촬영 등으로 기관종양을 확인한 51세된 여자환자를 기관절제 및 단단문합으로 시술, 완쾌시키고, 조직검사상 원발성 기관 신경섬유초종이 확인된 바 이는 현재까지 세계문헌상 백인에서 13예, 황인(일본인)에서 3예 만이 보고된 희귀한 예로 저자들의 지식으로는 국내 초유의 증예로 사료되어 문헌고찰과 더불어 보고하는 바이다