Tracheal Resection Anastomosis for Rare Tracheal Inflammatory Lesions Mimicking Malignancy: Report of 2 Cases

Overview

Journal J Cardiothorac Surg

Publisher Biomed Central

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2024 Feb 3

PMID 38310241

Authors

Ahmed Musaad Abd-Elfattah

Alaa Gaafar

Hisham Atef Ebada

Mahmoud Seif-Elnasr

Ahmed Domain

Fedaey Ramadan Habaza

Khaled Zalata

Ali Tawfik

Affiliations

Soon will be listed here.

Abstract

Background: Tumor-like lesions of the trachea are rare and challenging in diagnosis and management. Inflammatory myofibroblastoma, also known as Inflammatory pseudo tumors (IPTs), as well as Rosai Dorfman Disease (RDD) are inflammatory lesions that may involve the central airways with variable non-specific clinical features mimicking tumors.

Case Presentation: In this study 2 cases with tumor-like lesions are presented. One case with an inflammatory pseudotumor and the other one with Rosai-Dorfman disease affecting the upper trachea. Both cases were successfully managed with tracheal resection anastomosis.

Conclusion: Tracheal Inflammatory myofibroblastoma, and Rosai-Dorfman diseases are rare tumor like lesions that present with upper airway obstruction. Despite being benign, these lesions may have features suggestive of malignancy, requiring prompt management. Complete surgical excision by segmental resection and primary anastomosis (if feasible) is the treatment of choice with an optimum outcome.

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