2017 Volume 39 Issue 3 Pages 215-220
Background. Primary tracheal tumors are a relatively rare occurrence. However, these tumors can cause severe respiratory deficiencies due to airway stenosis, requiring urgent medical attention. Appropriate airway management is also needed during operations attempting at tumor resection. Here we report a case of adenoid cystic carcinoma of the trachea that was resected using a flexible bronchoscope followed by circumferential tracheal resection. Case. A woman in her forties had complained of a persistent cough accompanied by wheezing for four months. She also had had exertional dyspnea two months earlier. It was revealed that a tracheal tumor was blocking most of the inferior tracheal lumen and she was then referred to our hospital. Tumor resection using a flexible bronchoscope was performed for airway management and pathological diagnosis. Her symptoms disappeared immediately and her respiratory function improved dramatically. A circumferential resection was performed one month later and no complications occurred during the perioperative period. Conclusion. In this case of severe airway stenosis due to a bronchial tumor, tumor resection using bronchoscopy followed by radical surgery was effective in airway management.
