Eur J Cardiothorac Surg 2008;34:674. doi:10.1016/j.ejcts.2008.05.025
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
Images in cardio-thoracic surgery |
Leiomyoma of the trachea
Hisayuki Shigematsu*,
Akio Andou,
Kammei Rai,
Ryohei Higashi
Department of Chest Surgery, NHO Okayama Medical Center, 1711-1 Tamasu, Okayama 701-1192, Japan
Received 10 March 2008;
received in revised form 25 April 2008;
accepted 20 May 2008.
* Corresponding author. Tel.: +81 86 294 9911; fax: +81 86 294 9255. (Email: ash-shige{at}hotmail.co.jp).
Key Words: Leiomyoma • Tracheal tumor
A 60-year-old woman with a 3-month history of dyspnea was referred for the management of a tracheal tumor originating from the posterior wall (Fig. 1
). The tumor was completely removed by a flexible bronchoscopic electrocautery using a wire snare (Fig. 2
). Histological diagnosis was a leiomyoma of the trachea.
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Fig. 1. CT showed a round and homogeneous density mass without calcification originating from the posterior wall of the trachea. The lumen was nearly occluded by the tumor. In a spirometry test, the flow-volume loop showed the upper airway obstruction. (Forced expiratory volume in 1 s and forced vital capacity were 61% and 92% of predicted values, respectively.)
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Fig. 2. Bronchoscopy showed a smooth and movable pediculated tumor arising from the posterior wall of the trachea (A). Postoperative bronchoscopy showed the opening of the trachea (B) and her pulmonary function improved. She has been well without recurrence 1 year after the procedure.
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