Surgical Treatment of Tracheal Lipoma after Multiple Bronchoscopy Interventions and Placements of a Tracheal Stent
29. Januar 2019
22. März 2019
28. Juni 2019 (online)
Background The majority of adult primary tracheal tumors are malignant; however, as one type of benign tumors, lipoma is extremely uncommon.
Case Description We report a case where lipoma was first misdiagnosed as bronchial asthma, followed by sudden aggravation of dyspnea after trauma, and computed tomography (CT) examination of the neck and chest confirmed a tracheal tumor. Through multiple bronchoscopy interventions and placements of a tracheal stent, little therapeutic benefit was discovered, and resection of the tracheal tumor combined with tracheal end-to-end anastomosis was performed to ultimately achieve a cure.
Conclusion Primary tracheal tumors should be highly suspected in patients with recurrent and gradually worsening dyspnea; timely cervical, thoracic CT and bronchoscopy can provide an accurate diagnosis. Surgical radical resection is the only way to cure all benign tracheal tumors such as lipoma.
- 1 Macchiarini P. Primary tracheal tumours. Lancet Oncol 2006; 7 (01) 83-91
- 2 Grillo HC. Primary tracheal tumours. In: Grillo HC. , ed. Surgery of the Trachea and Bronchi. Hamilton, London: BC Decker; 2004: 208-247
- 3 Junker K. Pathology of tracheal tumors. Thorac Surg Clin 2014; 24 (01) 7-11
- 4 Beheshti J, Mark EJ, Graeme-Cook F. Epithelial tumor of the trachea. In: Grillo HC. , ed. Surgery of the Trachea and Bronchi. Hamilton, London: BC Decker; 2004: 73-85
- 5 Beheshti J, Mark EJ. Mesenchymal tumor of the trachea. In: Grillo HC. , ed. Surgery of the Trachea and Bronchi. Hamilton, London: BC Decker; 2004: 86-97