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Case Reports
. 2012 May;5(2):302-7.
doi: 10.1159/000339408. Epub 2012 Jun 12.

Surgical management of malignant tumors of the trachea: report of two cases and review of literature

Ryuji Yasumatsu  1 , Junichi Fukushima, Torahiko Nakashima, Hideki Kadota, Yuichi Segawa, Akihiro Tamae, Masato Kato, Shizuo Komune
Affiliations
Case Reports

Surgical management of malignant tumors of the trachea: report of two cases and review of literature

Ryuji Yasumatsu et al. Case Rep Oncol. 2012 May.

Abstract

Malignant neoplasms occurring from the trachea are extremely rare. Therefore, their clinical characteristics and surgical results have not been thoroughly discussed. These tumors are often misdiagnosed and treated as bronchial asthma or chronic obstructive pulmonary disease. It is critically important to probe the cause-effect relationship between the medical presentations and the clinical diagnosis. In this report, two cases of tracheal malignancy suffering from dyspnea due to obstruction of the proximal trachea are described, and a review of the literature is presented.

Keywords: Adenoid cystic carcinoma; Mediastinal tracheostomy; Squamous cell carcinoma; Tracheal cancer.

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Figures

Fig. 1
Fig. 1
a Tumors are located 25 and 50 mm below the vocal cord (arrows). b Bronchoscopic examination reveals papillomatous tumors under the subglottis.
Fig. 2
Fig. 2
a Operation view of the tracheal stump after its relocation inferior to the innominate artery (arrow). b Reconstruction of the cervical and upper mediastinal defects using a pectoralis major myocutaneous flap.
Fig. 3
Fig. 3
a The tumor is located in the posterolateral wall of the trachea (arrow). b Coronal view. The arrow indicates the tumor. c Bronchoscopic examination reveals a smooth mass under the subglottis, with obstruction of the lumen.
Fig. 4
Fig. 4
a Operation view of the cervical tumor (ACC) before the open biopsy (arrow) was performed. b Reconstruction of the hypopharynx and cervical esophagus using free jejunal transfer.
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