CC BY-NC-ND 4.0 · THORAC CARDIOV SURG Reports 2019; 08(01): e20-e23
DOI: 10.1055/s-0039-1688903
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Surgical Treatment of Tracheal Lipoma after Multiple Bronchoscopy Interventions and Placements of a Tracheal Stent

Xiaoming Zhang
1  Department of Cardiothoracic Surgery, Shenzhen University General Hospital, Shenzhen, China
,
Tao Ji
2  Department of Cardiothoracic Surgery, Wuhan General Hospital of Guangzhou Military Command, Wuhan, China
,
Longhai Yang
1  Department of Cardiothoracic Surgery, Shenzhen University General Hospital, Shenzhen, China
,
Yi Liu
1  Department of Cardiothoracic Surgery, Shenzhen University General Hospital, Shenzhen, China
,
Hongsheng Lin
1  Department of Cardiothoracic Surgery, Shenzhen University General Hospital, Shenzhen, China
,
Huiyu Pan
1  Department of Cardiothoracic Surgery, Shenzhen University General Hospital, Shenzhen, China
,
Zizi Zhou
1  Department of Cardiothoracic Surgery, Shenzhen University General Hospital, Shenzhen, China
3  Department of Plastic and Reconstructive Surgery, BG Unfallklinik Ludwigshafen, University of Heidelberg, Heidelberg, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

29. Januar 2019

22. März 2019

Publikationsdatum:
28. Juni 2019 (online)

  

Abstract

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.