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Case Reports
. 2015 Dec 16:2015:bcr2015213283.
doi: 10.1136/bcr-2015-213283.

A rare cause of recurrent wheeze and seizures

Affiliations
Case Reports

A rare cause of recurrent wheeze and seizures

Maryam Hassan et al. BMJ Case Rep. .

Abstract

A 34-year-old woman presented with recurrent attacks of breathlessness and seizures. The patient's condition worsened during the course of her hospital stay, as a result of which she had to be intubated twice. Radiological studies showed a mass in the trachea and the subsequent biopsy of the mass revealed an infiltrating carcinoma with morphological features of adenoid cystic carcinoma.

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Figures

Figure 1
Figure 1
Normal chest X-ray, no significant abnormality is seen.
Figure 2
Figure 2
Soft tissue mass, 35×19 mm, located 15 mm above the carina. The lesion appears closely adherent to the oesophagus and prevertebral tissues.
Figure 3
Figure 3
The biopsy revealed fibro-collagenous tissue with a neoplastic lesion composed of cords and clusters of neoplastic cells. Neoplastic cells are seen with a round to ovoid nucleus with hyperchromatic nuclei and eosinophilic cytoplasm. The adjacent stroma shows fibrosis.

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