Tracheal and endobronchial malignant melanoma

Case contributed by Oliver Hennessy
Diagnosis almost certain

Presentation

SOB and hemoptysis

Patient Data

Age: 55 years
Gender: Female

There is complete collapse of the left lower lobe. There is significant mediastinal shift to the left.

There is a rounded soft tissue mass in the lower trachea. There is extensive soft tissue occluding the left main bronchus with soft tissue extending distally into multiple lower lobe airways. There are no other significant findings.

Case Discussion

Benign causes of an endobronchial mass include foreign bodies, especially in children.

Benign adult causes include foreign body, tracheal polyps, papillomas and mucous plugs.

Malignant causes are primary bronchogenic carcinoma and endobronchial metastases which are far less common.

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