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Eur J Cardiothorac Surg 2008;34:1257-1259. doi:10.1016/j.ejcts.2008.09.003
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Shigemi Ishikawa
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Right arrow Trachea and bronchi

Case reports

Transtracheal endoluminal resection of a pleomorphic adenoma occluding subglottis

Shigemi Ishikawaa,*, Masaki Kimuraa, Yukinori Inadomeb, Kiyofumi Mitsuia

a Department of Chest Surgery, Graduate School of Comprehensive Human Science, University of Tsukuba, Tennoudai 1-1-1, Tsukuba, Ibaraki 305-8575, Japan
b Department of Pathology, Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan

Received 2 July 2008; received in revised form 11 August 2008; accepted 1 September 2008.

* Corresponding author. Address: Department of Chest Surgery, Graduate School of Comprehensive Human Science, University of Tsukuba, Tennoudai 1-1-1, Tsukuba, Ibaraki 305-8575, Japan. Tel.: +81 29 853 3210; fax: +81 29 853 3097. (Email: ishikawa{at}md.tsukuba.ac.jp).

A 71-year-old male was treated for suspected bronchial asthma because of dyspnea and stridor for 3 months before presenting at our hospital. Chest computed tomogram and a laryngotracheoscopy revealed a mass occupying the subglottic cavity. Instead of a laryngotracheal resection, the tumor was extirpated from the posterior wall of the subglottis and the first two tracheal rings successfully through a vertical tracheotomy just above the life-saving trachestomy tube, and was diagnosed as pleomorphic adenoma. The patient is alive and well with no recurrent tumor 12 years after surgery, without any effect on the function of the voice or swallowing.

Key Words: Tracheal surgery • Tracheal tumor • Tracheostomy • Pleomorphic adenoma






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Copyright © 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.