Clinical Image
Pleomorphic Adenoma of the Trachea
Bruno S. Silva
, Maria Esteves Brandão, Maria Sucena
Corresponding author
Pulmonology Department, Centro Hospitalar Universitário de Santo António, Porto, Portugal
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Silva, Maria Esteves Brandão, Maria Sucena" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Bruno S." "apellidos" => "Silva" "email" => array:1 [ 0 => "rbss1719@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Maria" "apellidos" => "Esteves Brandão" ] 2 => array:2 [ "nombre" => "Maria" "apellidos" => "Sucena" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pulmonology Department, Centro Hospitalar Universitário de Santo António, Porto, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 485 "Ancho" => 1340 "Tamanyo" => 90577 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Thoracic computorized tomography in axial plane demonstrating a polypoid lesion in the left side of the middle third of the trachea, with a maximum diameter of 12<span class="elsevierStyleHsp" style=""></span>mm. (B) Endotracheal view of the trachea, confirming the presence of a vascularized polypoid lesion in the left wall of the middle third of the trachea.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 66 year-old male with a history of smoking (35 pack-year units) and gastric adenocarcinoma was referred to a Pulmonology consultation because of abnormal imaging findings. During routine follow-up, thoraco-abdominal computorized tomography was performed, revealing a polypoid lesion in the middle third of the trachea, with a maximum diameter of 12<span class="elsevierStyleHsp" style=""></span>mm (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). He was asymptomatic and had a normal physical examination. Flexible bronchoscopy was performed, confirming the presence of an intra-luminal, highly vascularized polypoid lesion in the middle third of the trachea (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). Biopsies were performed, providing the diagnosis of a pleomorphic adenoma. After multidisciplinary discussion the patient was referred to Thoracic Surgery; segmental tracheal resection was successfully performed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Pleomorphic adenomas are the most common tumors of the salivary glands but are rare in the trachea (2–9%).<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> Presentation is often delayed due to their insidious growth; radical treatment must be considered due to the high risk of recurrence.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,2</span></a> Although surgical segmental resection has been the preferred option, bronchoscopic intervention, with the aid of electrocautery or argon-plasma coagulation has been described.<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">1,3</span></a> Given the rarity of this entity, its clinical course and optimal follow-up remain undetermined. Local recurrence has been documented after more than ten years.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors state that they have no conflict of interests.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 485 "Ancho" => 1340 "Tamanyo" => 90577 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Thoracic computorized tomography in axial plane demonstrating a polypoid lesion in the left side of the middle third of the trachea, with a maximum diameter of 12<span class="elsevierStyleHsp" style=""></span>mm. (B) Endotracheal view of the trachea, confirming the presence of a vascularized polypoid lesion in the left wall of the middle third of the trachea.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleomorphic adenoma of the trachea: a case report and review of the literature" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "Q.N. Liao" 1 => "Z.K. Fang" 2 => "S.B. Chen" 3 => "H.Z. Fan" 4 => "L.C. Chen" 5 => "X.P. Wu" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.12998/wjcc.v8.i23.6026" "Revista" => array:5 [ "tituloSerie" => "World J Clin Cases" "fecha" => "2020" "volumen" => "8" "paginaInicial" => "6026" "paginaFinal" => "6035" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pleomorphic adenoma of the trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.W. Sim" 1 => "I.J. Oh" 2 => "K.S. Kim" 3 => "Y.D. Choi" 4 => "Y.S. Kwon" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/lbr.0000000000000076" "Revista" => array:5 [ "tituloSerie" => "J Bronchol Intervent Pulmonol" "fecha" => "2014" "volumen" => "21" "paginaInicial" => "230" "paginaFinal" => "233" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radiofrequency ablation is low invasive and effective in treat pleomorphic adenoma in trachea without recurrence for at least five years" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Liu" 1 => "C.H. Yan" 2 => "S.D. Tao" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/SCS.0000000000002638.1" "Revista" => array:5 [ "tituloSerie" => "J Craniofac Surg" "fecha" => "2016" "volumen" => "27" "paginaInicial" => "978" "paginaFinal" => "980" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000005900000008/v3_202311210631/S0300289623001783/v3_202311210631/en/main.assets" "Apartado" => array:4 [ "identificador" => "94561" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Clinical Images" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000005900000008/v3_202311210631/S0300289623001783/v3_202311210631/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289623001783?idApp=UINPBA00003Z" ]
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