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+Our 24-year-old non-smoking male patient presented with repeated hemoptysis in May 2008 with 4 days of concomitant right thoracic pain which intensified while breathing.
+During holidays in his home country, this Cuban patient suffered from a cold with fever and a strong cough.
+The strong dry cough persisted after recovery from the cold.
+The patient did not report any loss of weight.
+The initial CT scan of the thorax showed a 12 × 4 cm solid mass paravertebral right in the lower thorax without any signs of metastases (Figure 1).
+The bronchoscopy (Figure ​2) with non-bleeding biopsy revealed a mass of the lower right bronchus which histologically and immunohistologically provided evidence of a granular cell or Abrikossoff tumor [1].
+The bronchial lavage which followed was negative for malignant cells.
+The patient was discharged and surgical intervention was planned.
+Four days after discharge a spontaneous hemothorax developed.
+The patient needed to be readmitted and the hemothorax was drained.
+No malignant cells were detected in the cytological examination of the drained liquid.
+After an uneventful course and decreasing of the hematoma, the tumor was excised by performing a lower right lobectomy 6 months after the initial admission.
+The final histological examination confirmed a peribronchial and infiltrating S100 positive tumor supporting the Schwann cell origin theory with very low growth rate of 2% and a size of 15 mm (Figure ​3).