Primary Salivary Gland Malignancy of Trachea: A Clinical Masquerader
Published: September 1, 2016 | DOI: https://doi.org/10.7860/JCDR/2016/21735.8589
Monika Singh, Megha Sharma, Minakshi Bhardwaj, Prajwala Gupta, Arvind Ahuja
1. Senior Resident, Department of Pathology, Dr Rml Hospital and Pgimer, New Delhi, India.
2. Junior Resident, Department of Pathology, Dr Rml Hospital and Pgimer, New Delhi, India.
3. Professor, Department of Pathology, Dr Rml Hospital and Pgimer, New Delhi, India.
4. Associate Professor, Department of Pathology, Dr Rml Hospital and Pgimer, New Delhi, India.
5. Associate Professor, Department of Pathology, Dr Rml Hospital and Pgimer New Delhi, India.
Correspondence
Dr. Monika Singh,
Department of Pathology, Pgimer, Dr Rml Hospital, New Delhi-110001, India.
E-mail: mona.nov10@gmail.com
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.
[
FULL TEXT ] | [ PDF]