Weekly Chest CasesArchive of Old Cases

Case No : 418 Date 2005-10-31

  • Courtesy of Mi Young Kim, MD / Inje University, Ilsan Paik Hospital, Korea
  • Age/Sex 35 / F
  • Chief ComplaintDyspnea, Abnormality on pulmonary function test
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Diagnosis With Brief Discussion

Diagnosis
Tracheal Adenoid Cystic Carcinoma
Radiologic Findings
ON posteroanterior chest radiograph, lower tracheal lumen is obliterated. intraluminal mass obliterating midtracheal segment along left tracheal wall. CT scan shows segmental wall thickening and luminal narrowing in the mid-trachea. Pulmonary function test shows decreased FEV1 suggesting obstructive pattern.
Segmental tracheal resection was performed. Histopathology revealed adenoid cystic carcinoma of cribriform pattern, characterized by hyaline globules and surrounding small monotonous cells.
Brief Review
References
Refer to the case 89 case 209 and case 312
Keywords
Airway, Malignant tumor,

No. of Applicants : 37

▶ Correct Answer : 13/37,  35.1%
  • - Swaidaa National Hospital, Syria Marwan Al Chami
  • - Busan National UniversityHospital, Korea Su-mi Shin
  • - Asan Medical Center, University of Ulsan, Korea Kim Ji Yeon
  • - Ev. Krkhs. Hubertus, Berlin, Germany Michael Weber
  • - Hanyang University Hospital, Seoul, Korea Yo Won Choi
  • - Annecy Hospital, France Gilles Genin
  • - ASL Bologna, Maggiore Hospital, Bologna, Italy Marcellino Burzi
  • - Seoul National University Hospital, Korea Eun Ju Chun
  • - Cabinet de Radiologie Guiton, La Rochelle, France Jean-Luc Bigot
  • - Ping Tung Christian Hospital, Taiwan Jun-Jun Yeh
  • - Hospital Ultra Care, Coimbatore, India Dababrata Das
  • - Daejon St Mary's Hospital ChaeHun Lim
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
▶ Correct Answer as Differential Diagnosis : 8/37,  21.6%
  • - Annemasse, Polyclinique de Savoie, France Gay-Depassier
  • - Yonsei University Hospital, Korea Eun Hye Yoo
  • - SSGH, Vadodara, India Sushil Mansingani
  • - Riverside Radiology Associates, Columbus, Ohio, USA Sumit Seth
  • - Pgimer, Chandigarh, India Julie Arora
  • - Radiologie Guiton, La Rochelle, France Denis Chabassiere
  • - Hangang SacredHeart Hospital, Korea Eil Seong Lee
  • - Apollo FirstMed Hospital, Chennai, India R G Gopinath
▶ Semi-Correct Answer : 2/37,  5.4%
  • - Hereford County Hospital, UK Joy A Thomas
  • - Erciyes University Thoracic Surgery, Kayseri, Turkey Omer Onal
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