Management dilemmas due to a paratracheal follicular dendritic cell tumor.
Follicular dendritic cell tumors are rare cancers of the lymph nodes of the head and neck. Despite a relatively high rate of recurrence, these neoplasms have a limited impact on the airways because they can be potentially cured by surgical resection. We present the case of a young woman with an unresectable follicular dendritic cell tumor involving the paratracheal region causing upper airway obstruction and respiratory failure. This malignant tumor created numerous management dilemmas and therapeutic challenges related to the unstable airway and the need for tracheal stenting to bypass the airway obstruction.
Voigt
Louis P
LP
Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York 10021, USA. voigtl@mskcc.org
Hmidi
Ali
A
Pastores
Stephen M
SM
Maki
Robert G
RG
Carlson
Diane L
DL
Bains
Manjit S
MS
Halpern
Neil A
NA
D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001999:Bronchoscopy; D020566:Dendritic Cells, Follicular; D003841:Deoxycytidine / Q000031:analogs & derivatives / Q000627:therapeutic use; D005260:Female; D006801:Humans; D011878:Radiotherapy; D012121:Respiration, Artificial; D012509:Sarcoma / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D015607:Stents; D014134:Tracheal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000093542:Gemcitabine
D000970:Antineoplastic Agents; D003841:Deoxycytidine; D000093542:Gemcitabine