‘Benign’ fibrous histiocytoma of the trachea

Abstract

Fibro-histiocytic neoplasms are uncommon in the respiratory tract. This paper presents a clinical and histological description of a case of fibrous histiocytoma at the level of the third tracheal ring. This cases shares some features with the four cases previously described, viz., the growth occurs mainly in young adults; recurrences are common; and all have shown similar benign histological patterns. Ultrastructural investigations confirmed the fibro-histiocytic nature of the neoplasm.

A case of fibrous histiocytoma of the trachea in an infant treated by endobronchial ND:YAG laser

“…In 1981 GonzalezCompora et al reviewed the literature contrasting the more aggressive behavior of laryngeal malignant fibrous histiocytoma and the benign behavior of the neoplasm in the trachea [8]. According to its histologically benign features, recurrence after local resection was more frequent than distant metastases.…”

Pediatric tracheal tumor masked by a history of travel: Case report and literature review

“…If technically feasible, complete surgical resection is the recommended treatment of choice for fibrous histiocytoma. Multiple cases of tracheal fibrous histiocytoma have documented recurrence when the initial treatment modality was endoscopic excision rather than open resection . With adequate mobilization, the trachea can be primarily reconstructed, even if 50% of the tracheal length is resected.…”

“…Multiple cases of tracheal fibrous histiocytoma have documented recurrence when the initial treatment modality was endoscopic excision rather than open resection. 6,7,10,14 With adequate mobilization, the trachea can be primarily reconstructed, even if 50% of the tracheal length is resected. Some reports suggest that patients with fibrous histiocytoma may benefit from radiation or chemotherapy either as adjuvant or primary treatment, but there are no large studies to support this.…”