Primary tracheal tumours are relatively rare and are usually malignant (80%-90%) in adults 1 and benign (60%-70%) in children. 2 These make up only about 2% of all tumours that arise from the upper airways. Most of the tracheal tumours are squamous cell carcinomas or adenoid cystic carcinomas. Inflammatory myofibroblastic tumour (IMT) is rare constituting 0.04%-0.07% of all respiratory tract tumours and usually presents in children under 16 years of age. 3 As patients with tracheal tumours initially present with non-specific respiratory symptoms, definitive diagnosis is often delayed. Chest computed tomography is an important imaging modality to diagnose and stage patients with suspected tracheal neoplasms. Bronchoscopy is essential to make histopathological diagnosis. Persistent or progressive local disease can cause complications, like haemorrhage, tracheal stenosis, or oesophageal-tracheal fistula.
case reportA 43-year-old female with no known co-morbidities, presented with dyspnoea and episodes of haemoptysis since preceding 8-9 months. She was being treated symptomatically before reporting to us. At presentation, stridor was the only abnormal finding on physical examination. She was unable to perform pulmonary function testing because of respiratory distress. Laboratory investigations were normal. Chest radiograph was normal. Thereafter, computed tomography (CT) of the chest was done which revealed endotracheal mass obliterating the lumen of the trachea (Figures 1A & B).