Wereport a case of mucousgland adenomaof the trachea in a 73-year-old male revealed by bronchoscopy. The tumor was resected with a contact neodymium:yttrium aluminum garnet (Nd-YAG)laser after five years of observation. The tumor was histologically peculiar because it presented numerous cystically dilated, or irregularly shaped mucus-filled glands lined with cuboidal or tall columnar cells. In some parts, the lining cells of the tumor showed papillary proliferation. Wediagnosed this tumor as a mucous gland adenomaof the trachea. Wereview the clinical features of this rare tumor and discuss the usefulness of the laser in the diagnosis and the therapy. (Internal Medicine 35: 890-893, 1996)