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Ǵм Yeungnam Univ J Med 2018;35(1):114-120


Tracheal pleomorphic adenoma with coexisting pulmonary tuberculoma

Jehun Kim, Chul-Ho Oak, Tae-Won Jang, Mann-Hong Jung
Department of Pulmonary and Critical Care Medicine, Kosin University Gospel Hospital,
Kosin University College of Medicine, Busan, Korea
Corresponding Author: Chul-Ho Oak, Department of Internal Medicine, Kosin University College of Medicine, 262, Gamcheon-ro, Seo-gu, Busan 49267, Korea
Tel: +82-51-990-6104, Fax: +82-51-990-3049
E-mail: oaks70@hanmail.net

Received: September 30, 2017, Revised: November 13, 2017 Accepted: November 14, 2017


Tracheal tumors are rare and difficult to diagnose. Moreover, delays in diagnosis are very common because the symptoms are nonspecific. As a result, tracheal tumors are commonly mistreated as chronic obstructive pulmonary disease or bronchial asthma. We report a case of a 49-year-old male who presented with a 3- month history of dyspnea and cough. Chest computed tomography scan showed a 1.51.3 cm homogenous tumor originating from the right lateral wall of the tracheobronchial angle into the tracheal lumen as well as a 0.50.4 cm round nodular lesion at the right upper lobe with multiple mediastinal lymph nodes enlargement. Bronchoscopic findings revealed a broad-based, polypoid lesion nearly obstructing the airway of the right main bronchus. The patient was diagnosed with pleomorphic adenoma which is the most common benign tumor of the salivary glands, but rarely appears in the trachea. Upon surgery, tracheal pleomorphic adenoma and co-existing active pulmonary tuberculoma that had been mistreated as bronchial asthma over 3 months was revealed. Following surgery, the patient underwent anti-tuberculosis treatment. No recurrence has been detected in the 3 years since treatment and the patient is now asymptomatic.

Key Words: Keywords: Tracheal neoplasms; Pleomorphic adenoma; Pulmonary tuberculosis