Adenoid cystic carcinoma of the trachea

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Admitted with positional airway compromise. Obstruction?

Patient Data

Age: 55 years
Gender: Male

Large mass in the proximal trachea, just above the level of the manubrium. This looks adherent to the wall of the trachea between 6 and 9 o'clock. 90% occlusion of the tracheal lumen at this level.

Case Discussion

Adenoid cystic carcinoma of the trachea is one of the less common causes of a tracheal mass.  As with this malignancy at other sites, it is locally aggressive and has a propensity for perineural spread.

Presentation is typically with airway symptoms due to luminal obstruction.

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