Journal Information
Vol. 57. Issue 7.
Pages 491 (July 2021)
Share
Share
Download PDF
More article options
Vol. 57. Issue 7.
Pages 491 (July 2021)
Clinical Image
Full text access
Polypoid Tracheal Fibroma
Fibroma traqueal polipoide
Visits
...
Diana Organistaa,
Corresponding author
dianaorganistamachado@gmail.com

Corresponding author.
, Joana Barbosaa, Aurora Linob
a Unidade de Pneumologia de Intervenção, Hospital Pulido Valente – Centro Hospitalar Universitário Lisboa Norte, Portugal
b Serviço de Pneumologia do Hospital de Santo Espírito da Ilha Terceira, Açores, Portugal
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Full Text

A 86-year-old woman, non-smoker, presented dyspnea of progressive aggravation with a few months of evolution that increased in dorsal decubitus, associated with episodes of cough with sputum difficult to expel and wheezing. Spirometry showed only bronchiolar obstruction (Fig. 1A). Thoracic CT scan showed a pedicled lesion in the trachea (Fig. 1B). Flexible bronchoscopy confirmed the presence of a large, non-hemorrhagic, smooth, pink polypoid lesion with a pedicle implanted in the posterior wall of the middle third of the trachea. Rigid bronchoscopy was performed with argon-plasma therapy and mechanical debridement with en bloc removal of the lesion (Fig. 1C and D). Pathological examination was compatible with polypoid fibroma of the tracheal mucosa, a benign lesion (Fig. 1E). There was no recurrence and the patient remains asymptomatic to this day.

Fig. 1.

Spirometry flow-volume loop (A) was not typical of an extrathoracic obstruction. CT-scan axial and sagittal images (B) show a pedicled lesion in middle third of the trachea. Images of flexible bronchoscopy (C) and rigid bronchoscopy (D) before and after argon-plasma therapy and mechanical debridement with en bloc removal of the lesion. Histological images of polypoid fibroma of the tracheal mucosa [hematoxylin and eosin staining] (E).

(0.17MB).

Primary tumors of the trachea are rare, accounting for about 2% of upper respiratory tract tumors and 0.3% of all tumors. Only 20% of these tumors are benign.1 These lesions often manifest themselves with symptoms that mimic obstructive pulmonary pathology, and patients are then treated with targeted therapy without clinical improvement.2 The gold standard method for the diagnosis of central airway obstruction is bronchoscopy, allowing not only the diagnosis of the lesions but also their treatment.

References
[1]
C. António, S.J. Moura e Sá.
Revisão dos tumores da traqueia: A propósito de um caso clínico de tumor adenóide cístico.
Rev Port Pneumol, 14 (2008), pp. 527-534
[2]
Y. Zayed, A.V. Chandran.
Cancer, trachea.
StatPearls, StatPearls Publishing, (2019),
Archivos de Bronconeumología

Subscribe to our newsletter

Article options
Tools

Are you a health professional able to prescribe or dispense drugs?