Primary chondrosarcoma of the trachea with extensive extraluminal growth

Abstract

Primary chondrosarcoma of the trachea is an extremely rare non-epithelial neoplasm with only few cases published in the literature. We present a rare case of tracheal chondrosarcoma with extensive extraluminal growth. We operated a patient with obstructive tumour of the upper third of the trachea via partial sternotomy. Before surgery, a Hanarostent was put into the trachea to treat a life-threatening stenosis. Postoperative period was uneventful. We discuss the incidence, clinical presentation and treatment options in patients with rare tracheal tumours. In some cases, a multidisciplinary approach (endoscopic intervention followed by surgical resection) is an effective treatment tool.

Therapeutic strategy for tracheal chondrosarcoma: report of two cases

“…Chondrosarcomas of the trachea are extremely rare tumors, with only 24 cases reported in the English literature to date [1][2][3][4]. Due to the low incidence of these tumors the results of different treatment options still have to be completely assessed.…”

A 62-year-old man with stridor and dyspnoea

“…Chondrosarcoma is a very rare cause of stridor. It is a primary malignant tracheal tumour consisting predominantly of cartilage [15][16][17][18]. Most tracheal chondrosarcomas arise from the posterolateral wall of cartilaginous rings.…”

“…Complete surgical resection of the tumour with end-to-end anastomosis of the trachea is the goldstandard treatment of chondrosarcoma, preconised to avoid recurrence [15][16][17][18]. Nonresectable chondrosarcomas may benefit from palliative rigid bronchoscopic removal and radiotherapy.…”

An extralaryngeal, extraesophageal surgical approach to a low-grade posterior cricoid chondrosarcoma

“…[12] Guillem et al [14] performed partial subglottic tracheal excision, cricoidectomy, and tracheostomy for the treatment of a mediastinal extension of a cricoid chondrosarcoma. Ryabov et al [15] also performed tracheal resection, tracheostomy, and end-to-end anastomosis via open neck surgery to treat a tracheal chondrosarcoma. Choi et al [1] performed transoral endoscopic resection of an epiglottic chondrosarcoma.…”