48-year-old male with cough and hemoptysis

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Summary:

 A 48-year-old male presents with 1.5 years of chronic cough and 8 months of hemoptysis.


Q. What is the most likely diagnosis in the case of a single polypoid endotracheal mass?



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3 Comments

  • yassin mostafa 1/6/2011 12:53:19 PM

    What i new that the Adenoid cystic tumor in the trachea is more common than SCC. according to aunt Mennie and some othere books.Tthanks alot

  • Brian Trotta 12/23/2010 11:46:25 AM

    The learning point of the case is that an endotracheal lesion is cancer until proven otherwise and a papillary growth pattern is typical of SCC, not ACC. A single lesion with this appearance should never be called a benign papilloma on imaging. Biopsy is required.

  • James LePage 12/22/2010 4:00:08 PM

    Am I reading something wrong? I had to enter squamous cell CA to get the diagnosis of benign tracheal papilloma? In fig 2, is there not some submucosal extension to the left postero-lateral aspect as in adenoid cystic carcinoma? Was there unmentioned malignant transformation in this case?

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