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Syncope due to tracheal adenoid cystic carcinoma

We present a case of a 34‐year‐old male who presented with syncope secondary to a large adenoid cystic carcinoma (ACC) of the distal trachea. A computed tomography and flexible bronchoscopy showed almost complete occlusion of the distal trachea. Resection with curative intent was performed, but rese...

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Autores principales: Bots, Eva Marianne Theresa, van Wyk, Abraham Christoffel, Janson, Jacques Teran, Wagenaar, Riegardt, Paris, Gerald, Koegelenberg, Coenraad Frederik Nicolaas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603988/
https://www.ncbi.nlm.nih.gov/pubmed/31304017
http://dx.doi.org/10.1002/rcr2.452
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author Bots, Eva Marianne Theresa
van Wyk, Abraham Christoffel
Janson, Jacques Teran
Wagenaar, Riegardt
Paris, Gerald
Koegelenberg, Coenraad Frederik Nicolaas
author_facet Bots, Eva Marianne Theresa
van Wyk, Abraham Christoffel
Janson, Jacques Teran
Wagenaar, Riegardt
Paris, Gerald
Koegelenberg, Coenraad Frederik Nicolaas
author_sort Bots, Eva Marianne Theresa
collection PubMed
description We present a case of a 34‐year‐old male who presented with syncope secondary to a large adenoid cystic carcinoma (ACC) of the distal trachea. A computed tomography and flexible bronchoscopy showed almost complete occlusion of the distal trachea. Resection with curative intent was performed, but resection margins were unfortunately not clear. The patient was subsequently offered adjuvant radiotherapy. Tracheal tumours comprise a small proportion of respiratory tract neoplasm, accounting for only about 2% of airway malignancies. Squamous cell carcinoma is the most common tracheal tumour, followed by ACC. Symptoms are usually attributable to the intraluminal component of the tumour causing an obstruction of the airway, resulting in stridor, dyspnoea, wheezing, haemoptysis, and cough. Syncope as a presenting symptom is exceedingly rare.
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spelling pubmed-66039882019-07-12 Syncope due to tracheal adenoid cystic carcinoma Bots, Eva Marianne Theresa van Wyk, Abraham Christoffel Janson, Jacques Teran Wagenaar, Riegardt Paris, Gerald Koegelenberg, Coenraad Frederik Nicolaas Respirol Case Rep Case Reports We present a case of a 34‐year‐old male who presented with syncope secondary to a large adenoid cystic carcinoma (ACC) of the distal trachea. A computed tomography and flexible bronchoscopy showed almost complete occlusion of the distal trachea. Resection with curative intent was performed, but resection margins were unfortunately not clear. The patient was subsequently offered adjuvant radiotherapy. Tracheal tumours comprise a small proportion of respiratory tract neoplasm, accounting for only about 2% of airway malignancies. Squamous cell carcinoma is the most common tracheal tumour, followed by ACC. Symptoms are usually attributable to the intraluminal component of the tumour causing an obstruction of the airway, resulting in stridor, dyspnoea, wheezing, haemoptysis, and cough. Syncope as a presenting symptom is exceedingly rare. John Wiley & Sons, Ltd 2019-07-02 /pmc/articles/PMC6603988/ /pubmed/31304017 http://dx.doi.org/10.1002/rcr2.452 Text en © 2019 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports
Bots, Eva Marianne Theresa
van Wyk, Abraham Christoffel
Janson, Jacques Teran
Wagenaar, Riegardt
Paris, Gerald
Koegelenberg, Coenraad Frederik Nicolaas
Syncope due to tracheal adenoid cystic carcinoma
title Syncope due to tracheal adenoid cystic carcinoma
title_full Syncope due to tracheal adenoid cystic carcinoma
title_fullStr Syncope due to tracheal adenoid cystic carcinoma
title_full_unstemmed Syncope due to tracheal adenoid cystic carcinoma
title_short Syncope due to tracheal adenoid cystic carcinoma
title_sort syncope due to tracheal adenoid cystic carcinoma
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603988/
https://www.ncbi.nlm.nih.gov/pubmed/31304017
http://dx.doi.org/10.1002/rcr2.452
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