Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2016 | Month : September | Volume : 10 | Issue : 9 | Page : ED26 - ED27

Primary Salivary Gland Malignancy of Trachea: A Clinical Masquerader ED26-ED27

Monika Singh, Megha Sharma, Minakshi Bhardwaj, Prajwala Gupta, Arvind Ahuja

Dr. Monika Singh,
Department of Pathology, Pgimer, Dr Rml Hospital, New Delhi-110001, India.

Primary tracheal malignancies are rare and present with non specific symptoms hence delaying the diagnosis. A 41-year-old male presented with repeated paroxysmal episodes of breathlessness for which he was being treated with bronchodilators and steroids. Computed Tomography (CT) chest was done revealing a small polypoidal mass lesion arising from lower trachea/carina. On fibre optic bronchoscopy an infiltrative growth was seen at the lower end of trachea following which biopsy was obtained. On histopathologic examination a diagnosis of primary adenoid cystic carcinoma was made. It was concluded that in a case of refractory obstructive pulmonary disease, primary tracheal tumours should be considered as an important differential diagnosis. CT chest, bronchoscopy and biopsy play a vital role in making an accurate diagnosis of such a clinical masquerader.