AI Article Synopsis
- Benign tracheal tumours are rare, with leiomyomas accounting for only 1% of cases, and one case is discussed involving a 48-year-old man misdiagnosed with asthma for over 20 years.
- The patient had persistent asthma symptoms that worsened significantly after two decades, leading to further testing which revealed a mass in the trachea.
- Treatment involved bronchoscopic laser resection of the leiomyoma, resulting in complete symptom resolution and normal lung function after six weeks.
Article Abstract
Benign tracheal tumours have an incidence of 1 in 1,000,000, of which leiomyomas represent only 1%. We report a case of tracheal leiomyoma masquerading as asthma for over 20 years. A 48-year-old man presented aged 26 years with asthma symptoms unresponsive to treatments and an obstructive spirometry pattern. Symptoms were not particularly troubling but suddenly exacerbated 22 years later. Flow-volume studies were consistent with upper airway obstruction. Computed tomography chest revealed a 2.3 cm mass arising from the posterior aspect of the trachea 2 cm above the carina. Bronchoscopic resection was performed using a Nd:YAG laser. Histology confirmed leiomyoma. Follow-up after 6 weeks revealed complete resolution of symptoms with normal spirometry. Tracheal masses should be considered in any patient with atypical asthma. A flow-volume loop may provide a clue to diagnosis and bronchoscopic laser resection is a minimally invasive treatment option.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509891 | PMC |
| http://dx.doi.org/10.1093/jscr/rjaa323 | DOI Listing |
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