Adenoid cystic carcinoma of the trachea mimicking asthma
Abstract Adenoid cystic carcinoma (ACC) is primarily a salivary gland tumour that rarely involves the respiratory tract. A 58‐year‐old lady was admitted with worsening dyspnoea, cough and wheezing for 2 days. CT pulmonary angiogram was done due to persistent dyspnoea which revealed a 12 mm mass prot...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-05-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1148 |
| _version_ | 1797839758787870720 |
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| author | Sugeesha Wickramasinghe Mohammed Munavvar Mohamad Nidal Bittar Deepa Jacob Sarah Nicholson Robert Stockwell Thyusha Devineni |
| author_facet | Sugeesha Wickramasinghe Mohammed Munavvar Mohamad Nidal Bittar Deepa Jacob Sarah Nicholson Robert Stockwell Thyusha Devineni |
| author_sort | Sugeesha Wickramasinghe |
| collection | DOAJ |
| description | Abstract Adenoid cystic carcinoma (ACC) is primarily a salivary gland tumour that rarely involves the respiratory tract. A 58‐year‐old lady was admitted with worsening dyspnoea, cough and wheezing for 2 days. CT pulmonary angiogram was done due to persistent dyspnoea which revealed a 12 mm mass protruding into the posterior aspect of the trachea with multiple enlarged nodes. There was a complete collapse of the left lower lobe and right middle lobe with right upper lobe pulmonary embolism which was thought to be contributing to her hypoxia. She was struggling with secretion clearance and initial measures to clear her secretions were not successful. She was treated with a tracheal stent, followed by an interval endoscopic ultrasound‐guided biopsy of the tracheal wall lesion which revealed ACC. She was referred to cardiothoracic surgeons for excision of the tumour after discussing in MDT. Surgery followed by radiotherapy is advised in cases with incomplete resection margins. |
| first_indexed | 2024-04-09T16:02:15Z |
| format | Article |
| id | doaj.art-d2e18af237584cad9700044044057ef4 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-09T16:02:15Z |
| publishDate | 2023-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-d2e18af237584cad9700044044057ef42023-04-25T09:44:35ZengWileyRespirology Case Reports2051-33802023-05-01115n/an/a10.1002/rcr2.1148Adenoid cystic carcinoma of the trachea mimicking asthmaSugeesha Wickramasinghe0Mohammed Munavvar1Mohamad Nidal Bittar2Deepa Jacob3Sarah Nicholson4Robert Stockwell5Thyusha Devineni6Department of Respiratory Medicine Lancashire Teaching Hospitals Preston UKDepartment of Respiratory Medicine Lancashire Teaching Hospitals Preston UKDepartment of Thoracic Surgery Blackpool Teaching Hospital Blackpool UKDepartment of Pathology Lancashire Teaching Hospitals Preston UKDepartment of Pathology Lancashire Teaching Hospitals Preston UKDepartment of Radiology Lancashire Teaching Hospitals Preston UKDepartment of Radiology Lancashire Teaching Hospitals Preston UKAbstract Adenoid cystic carcinoma (ACC) is primarily a salivary gland tumour that rarely involves the respiratory tract. A 58‐year‐old lady was admitted with worsening dyspnoea, cough and wheezing for 2 days. CT pulmonary angiogram was done due to persistent dyspnoea which revealed a 12 mm mass protruding into the posterior aspect of the trachea with multiple enlarged nodes. There was a complete collapse of the left lower lobe and right middle lobe with right upper lobe pulmonary embolism which was thought to be contributing to her hypoxia. She was struggling with secretion clearance and initial measures to clear her secretions were not successful. She was treated with a tracheal stent, followed by an interval endoscopic ultrasound‐guided biopsy of the tracheal wall lesion which revealed ACC. She was referred to cardiothoracic surgeons for excision of the tumour after discussing in MDT. Surgery followed by radiotherapy is advised in cases with incomplete resection margins.https://doi.org/10.1002/rcr2.1148adenoid cystic carcinomaradiotherapystentsurgerytrachea |
| spellingShingle | Sugeesha Wickramasinghe Mohammed Munavvar Mohamad Nidal Bittar Deepa Jacob Sarah Nicholson Robert Stockwell Thyusha Devineni Adenoid cystic carcinoma of the trachea mimicking asthma Respirology Case Reports adenoid cystic carcinoma radiotherapy stent surgery trachea |
| title | Adenoid cystic carcinoma of the trachea mimicking asthma |
| title_full | Adenoid cystic carcinoma of the trachea mimicking asthma |
| title_fullStr | Adenoid cystic carcinoma of the trachea mimicking asthma |
| title_full_unstemmed | Adenoid cystic carcinoma of the trachea mimicking asthma |
| title_short | Adenoid cystic carcinoma of the trachea mimicking asthma |
| title_sort | adenoid cystic carcinoma of the trachea mimicking asthma |
| topic | adenoid cystic carcinoma radiotherapy stent surgery trachea |
| url | https://doi.org/10.1002/rcr2.1148 |
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