Management of Tracheal Neoplasms

Abstract

Primary tracheal tumors are rare neoplasms which often present with indolent and nonspecific symptoms. Despite a tendency for late presentation, more than half of patients with benign and malignant neoplasms will be candidates for curative resection upon diagnosis. This review describes the diagnostic and staging evaluation of tracheal neoplasms. Curative surgical procedures including laryngotracheal resection, tracheal resection, and carinal resection are discussed. Palliative therapies such as external beam radiation, endolumenal brachytherapy, bronchoscopic laser resection, and endoprosthetic stenting are reviewed.

Association of Head and Neck Cancer With Mental Health Disorders in a Large Insurance Claims Database

“…29 Primary cancers of the trachea are rare malignant neoplasms associated with an indolent course and often requiring multimodal therapy. 29 Preoperative quality of life in these patients is significantly impaired, and a high mortality is associated with any treatment. 30 The literature shows that cancers of the trachea, bronchus, and lung are associated with a higher suicide rate.…”

Reporting of central airway obstruction on radiology reports and impact on bronchoscopic airway interventions and patient outcomes

“…In such cases, the ideal treatment would be bronchoscopic intervention for airway management followed by surgical resection in patients who can tolerate the surgery [Huang et al . 2003; Meyers and Mathisen, 1997]. Benign conditions such as the post-intubation tracheal stenosis, post-transplant airway complications, tracheomalacia, and benign tumors can affect the central airways and cause focal or diffuse stenosis or obstruction [Ahn et al .…”

Case report of tracheobronchial squamous cell carcinoma treated with radiation therapy and concurrent chemotherapy

“… 14 Contraindications to surgery include metastatic disease, invasion of adjacent organs, involvement of airway greater than could be safely resected (>50% of trachea), involvement of airway that would leave grossly positive margins after resection, spinal kyphosis, or poor medical condition of the patient. 8 , 22 , 23…”