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Eur J Cardiothorac Surg 2002;21:924
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Endotracheal metastasis of rectal cancer

Shun-ichi Watanabe*, Makoto Oda, Yasuhiko Ohta, Go Watanabe

Department of Surgery (I), Kanazawa University School of Medicine, Kanazawa 920-8641, Japan

Received 15 October 2001; received in revised form 24 January 2002; accepted 7 February 2002.

* Corresponding author. Tel.: +81-76-265-2358; fax: +81-76-222-6833
e-mail: shunuk{at}aol.com

A 77-year-old man who had a history of surgery for rectal cancer was admitted with hemosputum. Bronchoscopy (Fig. 1) and three-dimensional computed tomography (Fig. 2) clearly showed an endotracheal tumor. Tracheal resection was performed via right thoracotomy. The tumor was histopathologically diagnosed as a metastasis of rectal cancer. Metastatic endotracheal tumor from an extrathoracic organ is an extremely rare disease.



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  		Fig. 1. Fiberoptic bronchoscopy showing an endotracheal tumor at the trachea.

 


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  		Fig. 2. Three-dimensional computed tomography clearly showing a tumor in the lower third of the trachea.

 



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