Tracheal adenoid cystic carcinoma: A case report

Abstract

Introduction: Adenoid cystic carcinoma is rare in the trachea and, due to slow growth, it can go unnoticed or be confused with other obstructive pathologies for months/years. Case Report: We report a case of a 31-year-old woman who complained of having productive cough, wheezing and dyspnea on exertion with a progressive evolution during months. Bronchial asthma was considered and an inhaled therapy was started. After one month, she denied a significant improvement with treatment, referring inspiratory stridor. Chest X-ray showed a reduction of tracheal diameter in its distal portion and bronchoscopy revealed an extensive mass on the thoracic trachea, reducing the lumen by 80%. Laser therapy for mass resection was performed, leading to recovery of tracheal permeability. Pathological examination revealed to be consistent with adenoid cystic carcinoma.After endoscopic treatment, the patient immediately noticed a relief of symptoms. Conclusion: Due to the extension of