A rare case of tracheal lymphoma presenting with severe tracheal stenosis «Un raro caso di linfoma della trachea con stenosi severa»

OZGUL A., Yasar Z. A., ŞAHİN Ü., ACAT M., Tecimer T., Çetinkaya E.

European Journal of Oncology, vol.20, no.2, pp.109-113, 2015 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 2
  • Publication Date: 2015
  • Journal Name: European Journal of Oncology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.109-113
  • Recep Tayyip Erdoğan University Affiliated: Yes

Abstract

Summary. Primary malignant lymphoma of the trachea is rare and its underlying mechanism remains unknown.
Primary tracheal tumors are also very rare causes of airway obstructions. This case report features
a 60 year-old woman who presented with the complaint of dyspnea. A mass narrowing the tracheal lumen
posteriorly in the subglottic area and mediastinal lymphadenopathy was detected by computed tomography
scan and a rijit bronchoscopy was performed. This showed polypoid, variable-sized, irregular nodules causing
narrowing of the tracheal lumen over a 3 cm segment in the middle part of the trachea and a mass protruding
into the tracheal lumen from the posterior part of the proximal trachea. Multiple biopsy was carried out from
the nodules and the airway obstruction was treated with Argon Plasma Coagulation (APC). After removal
of the debris, tracheal lumen patency was obtained. The histopathology examination revealed a small lymphocytic
primary non-Hodgkin’s lymphoma of the trachea. To our knowledge, this is the first case of small
lymphocytic primary tracheal lymphoma in the literature.