Bronchial schwannoma is a rare benign tumor traditionally managed through surgical resection. This case report describes a 69-year-old Chinese woman with an asymptomatic bronchial schwannoma incidentally discovered during routine health check-up. Computed tomography (CT) and bronchoscopy revealed a broad-based mass (27 mm × 16 mm) at the right lower lobe bronchus, causing complete obstruction of the dorsal segment and severe stenosis (>80%) of the basal segment. Histopathological and immunohistochemical analyses confirmed the diagnosis of schwannoma. The patient underwent a single-session multimodal bronchoscopic treatment combining cryotherapy, high-frequency electrocoagulation, and laser therapy, with minimal bleeding (<5 ml). Post-intervention evaluation showed a fully patent right lower lobe bronchus, and at 8-month follow-up, CT confirmed complete resolution without tumor recurrence. This case demonstrates that carefully planned bronchoscopic intervention can effectively manage selected cases of bronchial schwannoma while preserving lung function and minimizing procedural risks.
Keywords: Bronchial schwannoma; bronchoscope; cryotherapy; electrocoagulation; interventional treatment; laser therapy.