Endotracheal metastases from colon adenocarcinoma

Galbis-Caravajal, José M.; Badía, J.G. Sales; Serrano, Carlos Trescolí; Rodríguez, P. Cordero; Aragón, Carlos Jordá; Sendra, Elsa Naval

doi:10.1007/s12094-008-0271-0

Cited by 9 publications

(9 citation statements)

References 20 publications

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“…There were 64 individual case reports and 96 case series (consisting of more than one case). Of the 96 case series, 17 series contained enough details to extract individual patient data; these 110 patients were analyzed with the individual case reports (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). Forty-five case series reported exclusively on tracheal invasion by thyroid cancer (Table S1).…”

Section: Quantity Of Evidencementioning

confidence: 99%

Secondary tracheal tumors: a systematic review

Madariaga¹,

Gaissert²

2018

Ann. Cardiothorac. Surg.

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Background: Secondary tracheal tumors arise from mural invasion by primary tumors in adjacent organs, metastatic lymph nodes or blood-born metastasis from distant sites. This systematic review aims to assess the presentation, management options, and clinical outcomes of these uncommon non-tracheal malignancies.Methods: Electronic searches of the MEDLINE database were performed to identify case series and individual case reports of tracheal invasion by primary non-tracheal tumors or metastatic disease. AllEnglish-language studies with available abstracts or articles containing primary data were included.Results: From 1978 to 2017, a total of 160 case reports or case series identified 2,242 patients with invasion of the trachea by tumors of adjacent organs (n=1,853) or by metastatic lymph nodes or hematogenous spread (n=389). Common primary sites of origin were thyroid, esophagus, and lung, and the most common presentation was metachronous (range of interval: 0 to 564 months) with dyspnea, neck mass, voice change and/or hemoptysis. A majority of patients in case reports (77.9%) and case series (66.0%) underwent resection and the most common reported operation was segmental tracheal resection. Fewer patients underwent bronchoscopic intervention (21.7%) and radiation was used in 32.2% of patients. Complications after bronchoscopic treatment included bleeding, granulation tissue, and retained secretions, while anastomotic leak, unplanned tracheostomy, and new recurrent laryngeal nerve paralysis were observed after surgical resection. The rate of 30-day mortality was low (0.01-1.80%). Median survival was higher in patients with thyroid malignancy and in patients who underwent surgical management. Follow-up time ranged from 0.03 to 183 months. Conclusions:Patients with tracheal invasion by metastatic or primary non-tracheal malignancies should be assessed for symptoms, tumor grade, tumor recurrence and concurrent metastases to decide on optimal surgical, bronchoscopic or noninterventional therapy. Clinical experience suggests that palliative endoscopic intervention for tracheal obstruction by metastasis-bearing lymph nodes is underreported.Keywords: Endotracheal metastasis; secondary tracheal tumors; systematic review Submitted Nov 24, 2017. Accepted for publication Dec 21, 2017Dec 21, . doi: 10.21037/acs.2018 View this article at: http://dx.doi.org/10.21037/acs.2018.02.01 Systematic Review IntroductionSecondary tracheal tumors are defined as tumors in, but not of the trachea and comprise a wide spectrum of tumor histologies and stages. There are no populationbased data for these tumors, and in clinical practice these lesions are probably more common than primary neoplasms. A thoracic surgeon probably encounters tracheal obstruction by metastatic lymph nodes more often than invasion by adjacent primary tumors. Since natural history and prognosis are related to the tumor of origin, their management and prognosis may differ considerably from primary tracheal neoplasms; a correct diagnosis with attribution to the origi...

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Section: Quantity Of Evidencementioning

confidence: 99%

Secondary tracheal tumors: a systematic review

Madariaga¹,

Gaissert²

2018

Ann. Cardiothorac. Surg.

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“…Only three cases underwent surgical resection (3)(4)(5), and two patients were treated by laser therapy (3,6). These reports mainly focused on the diagnostic methods of TM and no reports have discussed the optical treatment options, including surgery, of TM of colorectal cancer.…”

Section: Introductionmentioning

confidence: 99%

Highlighted version successful resection of a tracheal metastasis of rectal cancer: a case report

et al. 2017

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A tracheal metastasis (TM) from non-pulmonary malignancy is extremely rare, and there are very few reports regarding TM. Here, we report a case of the successful tracheal resection of TM of colorectal cancer. A 36-year-old man underwent a surgical resection for the rectal cancer. Approximately 5 years after the surgical resection of the primary rectal cancer, an isolated TM was identified. The patient was successfully treated with a tracheal resection. In conclusion, the current case suggested that the best treatment of the isolated TM might be a surgical resection.

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“…It could have been missed easily due to its superior position. Galbis Caravajal et al (2) reported a patient with endotracheal metastasis from sigmoid colon cancer who had a missed endotracheal metastasis initially on CT scans, which had been found on a routine bronchoscopic exam.…”

Section: Discussionmentioning

confidence: 99%

“…There have been reported cases of metastases from breast cancer, renal cell carcinoma, melanoma, and colorectal carcinoma (2)(3)(4)(5). Advances in postoperative chemotherapy have increased the survival rate in patients with colorectal carcinoma and have revealed a new population with endobronchial metastases which may arise in the later stages of the disease (6).…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, endotracheal manifestation is so rare that the incidence cannot be established. To our knowledge, three cases have been reported in the English literature, and these reports shared only clinical details without detailed radiologic and histologic findings (2,7). Therefore, we present the 70-year-old woman with endotracheal metastasis from rectal cancer.…”

Section: Introductionmentioning

confidence: 99%

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