Pediatric tracheal tumor masked by a history of travel: case report and literature review.
A previously healthy 10-year-old female reported a 1-month history of wheezing and hemoptysis. Initial evaluation and treatment were focused on refractory reactive airway disease and infectious etiologies prompted by her recent travels in Africa. Worsening respiratory distress prompted emergent evaluation with imaging and endoscopy. Bronchoscopy diagnosed a distal tracheal tumor; pathology of this tumor was benign fibrous histiocytoma. Successful management of this condition included imaging, rigid bronchoscopy with biopsy, and tracheal resection to surgically excise the lesion. Although rare, tracheal tumors should be considered when presentation of asthma is atypical and nonresponsive to medical interventions.
Division of Pediatric Otolaryngology, Children's National Medical Center, Washington, DC, U.S.A.
Marci J
MJ
Pugnale
Alison
A
Maresh
Pranava
P
Sinha
Christopher
C
Rossi
Jonathan
J
Murnick
Brian K
BK
Reilly
D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology; D001999:Bronchoscopy / Q000379:methods; D002648:Child; D003371:Cough / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D018219:Histiocytoma, Benign Fibrous / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D035583:Rare Diseases; D012135:Respiratory Sounds / Q000175:diagnosis / Q000209:etiology; D012141:Respiratory Tract Infections / Q000175:diagnosis*; D018570:Risk Assessment; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000601:surgery; D014195:Travel; D016896:Treatment Outcome
atypical asthma; benign fibrous histiocytoma; fibrous histiocytoma; pediatric tracheal tumor; tracheal resection