Weekly Chest CasesArchive of Old Cases

Case No : 1458 Date 2025-09-29

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  • Courtesy of Geewon Lee / Pusan National University Hospital
  • Age/Sex 72 / M
  • Chief ComplaintAbnormal finding at screening CT
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
Mucoepidermoid carcinoma
Radiologic Findings
Fig 1. Chest PA shows fibrotic bands at both upper lung zones, suggesting old infection sequelae
Fig 2, 3. Postcontrast axial and coronal chest CT scans show a small intraluminal nodule located at the anterior wall of lower trachea with enhancement.
Fig 4. Bronchoscopy shows a mass at the lower trachea.
Brief Review
Bronchoscopic biopsy was performed and a histopathologic diagnosis of intermediate grade mucoepidermoid carcinoma was made.
Mucoepidermoid carcinoma of the tracheobronchial tree is a rare airway tumor, composing only 0.1%
References
1. Kim TS et al. Mucoepidermoid carcinoma of the tracheobronchial tree: radiographic and CT findings in 12 patients. Radiology 1999;212:643-648
2. Ha SY et al. Mucoepidermoid Carcinoma of Tracheobronchial Tree: Clinicopathological Study of 31 Cases. The Korean Journal of Pathology 2011;45:175-181
3. Li X et al. CT features and differential diagnosis of primary pulmonary mucoepidermoid carcinoma and pulmonary adenoid cystic carcinoma., J Thorac Dis. 2018;10:6501
Keywords

No. of Applicants : 76

▶ Correct Answer : 2/76,  2.6%
  • - , China FANG YING GEN
  • - GHICL , France MANUEL TOLEDANO
▶ Correct Answer as Differential Diagnosis : 27/76,  35.5%
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
  • - Kyoto University , Japan AKIHIKO SAKATA
  • - Shiga General Hospital , Japan YUSAKU MORIBATA
  • - Osaka metropolitan university Hospital , Japan TATSUSHI OURA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - , Korea (South) HYOUNG YEOB KIM
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - , Japan MASAMICHI IWAI
  • - Shiga University of Medical Science , Japan AKITOSHI INOUE
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - , Korea (South) KYUNG HYUN WOO
  • - Japanese Red Cross Otsu Hospital , Japan JUN YOSHIDA
  • - , Japan SHUNJIRO NOGUCHI
  • - Toyota Kosei Hospital , Japan YUKI HAYASHI
  • - University of Yamanashi , Japan KOJIRO ONOHARA
  • - Kyung Hee University Medical Hospital , Korea (South) JEONG TAEK YOON
  • - , Japan SUZUNE TSUKAMOTO
  • - Kyoto University , Japan SHO KOYASU
  • - The First Affiliated Hospital of Nanjing Medical University , China TENG ZHANG
  • - , Japan YOSHIKI ISHII
  • - Other , Korea (South) CHAEHUN LIM
  • - Oita university , Japan NORITAKA KAMEI
  • - Oita university , Japan AYUMI KAMEI
  • - Ehime University , Japan KOTARO MATSUMOTO
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
  • - Kyeongpook National University Hospital , Korea (South) JUNGMIN LEE
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