Therapeutic strategy for tracheal chondrosarcoma: report of two cases

  • Angelo Carretta | angelo.carretta@hsr.it Department of Thoracic Surgery, San Raffaele Hospital, Vita Salute San Raffaele University, Milan, Italy.
  • Paola Ciriaco Department of Thoracic Surgery, San Raffaele Hospital, Vita Salute San Raffaele University, Milan, Italy.
  • Alessandro Bandiera Department of Thoracic Surgery, San Raffaele Hospital, Vita Salute San Raffaele University, Milan, Italy.
  • Piergiorgio Muriana Department of Thoracic Surgery, San Raffaele Hospital, Vita Salute San Raffaele University, Milan, Italy.
  • Gianluigi Arrigoni Department of Pathology, San Raffaele Hospital, San Raffaele Hospital, Vita Salute San Raffaele University, Milan, Italy.
  • Giampiero Negri Department of Thoracic Surgery, San Raffaele Hospital, Vita Salute San Raffaele University, Milan, Italy.

Abstract

Primary chondrosarcoma of the trachea is an extremely rare tumor. We report two cases of tracheal chondrosarcoma describing the role of surgical and conservative treatment. Endoscopic treatment with rigid bronchoscopy was performed in both patients to restore airway patency and obtain histological specimens for diagnosis. One of the patients subsequently underwent successful tracheal resection and reconstruction. The other patient, who had a contraindication to surgical treatment due to associated diseases underwent iterative endoscopic LASER treatment and is alive three years after the first diagnosis. Surgical treatment remains the treatment of choice of tracheal chondrosarcoma. When surgery is contraindicated endoscopic treatment may allow relatively longterm survival due to the slow growth of these tumors.

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Published
2020-03-12
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Issue
Section
Pneumology - Case Reports
Keywords:
Chondrosarcoma, trachea, surgery, bronchoscopy
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How to Cite
Carretta, A., Ciriaco, P., Bandiera, A., Muriana, P., Arrigoni, G., & Negri, G. (2020). Therapeutic strategy for tracheal chondrosarcoma: report of two cases. Monaldi Archives for Chest Disease, 90(1). https://doi.org/10.4081/monaldi.2020.1223