scholarly journals Successful Flexible Bronchoscopic Management of Dynamic Central Airway Obstruction by a Large Tracheal Carcinoid Tumor

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Vijay Hadda ◽  
Karan Madan ◽  
Anant Mohan ◽  
Umasankar Kalai ◽  
Randeep Guleria

Typical carcinoid of the trachea presenting as an endoluminal polypoidal mass is a rare occurrence. Herein, we report a case of a 34-year-old female patient who presented with features of central airway obstruction. Flexible bronchoscopy demonstrated a large pedunculated growth arising from the lower end of the trachea near carina which was flopping in and out of the main tracheal lumen and the proximal right bronchus leading to dynamic airway obstruction. Successful electrosurgical excision (using a snare loop) of the polypoidal growth was performed using the flexible bronchoscope itself. The patient had immediate relief of airway obstruction and histopathological examination of the polyp demonstrated features of typical carcinoid (WHO Grade I neuroendocrine tumor).

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Karan Madan ◽  
Amanjit Bal ◽  
Ritesh Agarwal ◽  
Ashim Das

Rhabdoid tumours are one of the most aggressive childhood neoplasms associated with high mortality. The commonest age group affected is children less than five years of age. Rhabdoid tumour presenting as an endoluminal tracheal mass leading to central airway obstruction has not been previously reported. We describe the case of a 17-year-old male patient where malignant rhabdoid tumour masqueraded as bronchial asthma leading to a delayed diagnosis of upper airway obstruction by tracheal growth. Histopathological examination and immunohistochemistry confirmed the diagnosis of malignant rhabdoid tumour.


2012 ◽  
Vol 11 (8) ◽  
pp. 452-455 ◽  
Author(s):  
Yongqun Li ◽  
Huasong Feng ◽  
Zhoushan Nie ◽  
Jiguang Meng ◽  
Xinmin Ding ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Jun-hong Jiang ◽  
Da-xiong Zeng ◽  
Chang-guo Wang ◽  
Yan-bin Chen ◽  
Dan Shen ◽  
...  

Objective. Self-expandable metallic (SEM) airway stents are an important approach to malignant central airway obstruction (CAO). SEM airway stent insertions are usually performed under fluoroscopic guidance over a guide wire placed through a flexible bronchoscope often resulting in a longer procedure time and exposure to radiation. In this pilot study, we designed a novel delivery system of the through-the-scope (TTS) SEM airway stent insertion and observed its feasibility. Methods. From Jan 2015 to Sept 2016, 25 consecutive patients with inoperable malignant CAO were enrolled requiring airway stent implantation. All patients were followed up to death or at least 6 months. Results. 36 TTS stents were inserted into 25 patients using a flexible bronchoscope under general anesthesia or local anesthesia. All stents were successfully deployed directly through the working channel (2.8 mm diameter) of the flexible bronchoscope in 91.7% (33/36) of the subjects. The mMRC score and stenosis grade improved significantly after stent implantation. The common stent-related complications were secretion retention (25%, 9/36), development of granulation tissue (13.9%, 5/36), tumor in-growth (13.9%, 5/36), and hemoptysis (8.3%, 3/36). The 6-month overall survival (OS) was 44% (11/25). Conclusion. The novel TTS stent release system was an effective and safe approach in malignant central airway obstruction.


2010 ◽  
Vol 26 (2) ◽  
pp. 151-156
Author(s):  
Mohamed Abdel Hamied Regal ◽  
Yasser Ahmed El Ghoneimy ◽  
Yasser Maher Aljehani

2009 ◽  
Vol 8 (6) ◽  
pp. 317-319 ◽  
Author(s):  
Kaibao Han ◽  
Dong Wang ◽  
Dongming Lu ◽  
Xiangdong Sun ◽  
Hongzhi Sun ◽  
...  

2011 ◽  
Vol 165 (2) ◽  
pp. 330
Author(s):  
K. Park ◽  
S.S. Razi ◽  
G. Schwartz ◽  
S. Belsley ◽  
G. Todd ◽  
...  

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