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Primary tracheal tumours are extremely rare and overwhelmingly malignant.Squamous cell carcinoma is most common in smokers,whereas adenocarcinoma is most commonly found in non-smokers. Patients most commonly presents with hemoptysis, respiratory distress, cough and stridor. The symptoms appear in late phase and often are mistaken for chronic obstructive pulmonary disease.This leads to delay in management.Surgery,followed by adjuvant radiotherapy and chemotherapy,is the treatment of choice.