Recurrent tracheal tumor with a critical airway requiring ‘Y’ stent – unique presentation of tuberculosis

Submitted: August 20, 2020
Accepted: January 1, 2021
Published: March 31, 2021
Abstract Views: 833
PDF: 381
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Tracheal tumor is a rare entity. Tracheal tumor may be a primary tracheal tumor or secondary to invasion from a mediastinal tumor (or a lymph node). These tumors are prone to cause critical airway obstruction which may require urgent care. Tuberculosis is one of the common differential diagnoses of mediastinal lymphadenopathy in TB endemic countries, though isolated tuberculous mediastinal lymphadenopathy without a lung involvement is rare. We report an extremely rare case of isolated paratracheal lymphadenitis due to tuberculosis, eroding the trachea and presented a lower tracheal tumor, which recurred again after complete debulking. Finally, the disease required a ‘Y’ stent placement, to stabilize the airway following the second recanalization. We discuss the incidence, differential diagnosis, and the bronchoscopic, interventional aspects of this entity.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Diaz-Mendoza J, Debiane L, Peralta AR, Simoff M. Tracheal tumors. Curr Opin Pulm Med 2019;25:336–43. DOI: https://doi.org/10.1097/MCP.0000000000000585
Madariaga ML, Gaissert HA. Secondary tracheal tumors: a systematic review. Ann Cardiothorac Surg 2018;7:183–96. DOI: https://doi.org/10.21037/acs.2018.02.01
Gupta P. Difficulties in managing lymph node tuberculosis. Lung India 2004;21:50–3.
Khilnani GC, Jain N, Hadda V, Arava SK. Anterior mediastinal mass: A rare presentation of tuberculosis. J Trop Med 2011;2011:1–4. DOI: https://doi.org/10.1155/2011/635385
Yildirim E. Principles of urgent management of acute airway obstruction.Thorac Surg Clin 2018;28:415–28. DOI: https://doi.org/10.1016/j.thorsurg.2018.05.006
Aroor AR, Rama Prakasha S, Seshadri S, et al. A study of clinical characteristics of mediastinal mass. J Clin Diagnostic Res 2014;8:77–80. DOI: https://doi.org/10.7860/JCDR/2014/7622.4013
Hochhegger B, Zanetti G, Marchiori E. Mass invading the trachea: a rare presentation of tuberculosis simulating lung cancer. Infection 2013;41:599–600. DOI: https://doi.org/10.1007/s15010-013-0422-2
Seif F, Montenegro H. An enlarging solitary mass in an asymptomatic patient. Am J Med 2011;124:611–3. DOI: https://doi.org/10.1016/j.amjmed.2011.04.001
Juanpere S, Cañete N, Ortuño P. A diagnostic approach to the mediastinal masses. Insights Imaging 2013;4:29–52. DOI: https://doi.org/10.1007/s13244-012-0201-0
Mondoni M, Repossi A, Carlucci P, et al. Bronchoscopic techniques in the management of patients with tuberculosis. Int J Infect Dis 2017;64:27–37. DOI: https://doi.org/10.1016/j.ijid.2017.08.008
World Health Organization. Country Office for India. Index-TB guidelines: Guidelines on extra-pulmonary tuberculosis for India. Central TB Division; Ministry of Health and Family Welfare, Government of India. 2016. Available from: https://apps.who.int/iris/handle/10665/278953
Pawlewicz K, Szutkowski Z, Kawecki A. Recurrence of adenoid cystic carcinoma of the trachea treated with radical radiotherapy: A case report. Oncol Lett 2018;15:3890–4. DOI: https://doi.org/10.3892/ol.2018.7780
Central TB Division, Ministry of Health & Family Welfare, Government of India. Guideline for PMDT in India 2017. Available from: https://tbcindia.gov.in/index1.php?lang=1&level=2&sublinkid=4780&lid=3306
Lee P, Kupeli E, Mehta AC. Airway Stents. Clin Chest Med 2010;31:141–50. DOI: https://doi.org/10.1016/j.ccm.2009.08.002
Folch E, Keyes C. Airway stents. Ann Cardiothorac Surg 2018;7:273–83. DOI: https://doi.org/10.21037/acs.2018.03.08
Venugopal Jaganathan, Department of interventional Pulmonology, Kovai Medical Center and Hospital, Coimbatore

 

 

How to Cite

Jaganathan, Venugopal, Santhakumar Subramanian, and Deepak T Hari. 2021. “Recurrent Tracheal Tumor With a Critical Airway Requiring ‘Y’ Stent – Unique Presentation of Tuberculosis”. Monaldi Archives for Chest Disease 91 (3). https://doi.org/10.4081/monaldi.2021.1578.

Similar Articles

<< < 2 3 4 5 6 7 8 9 10 11 > >> 

You may also start an advanced similarity search for this article.