Indian Journal of Critical Care Case Report

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VOLUME 3 , ISSUE 1 ( January-February, 2024 ) > List of Articles


Stridor and Paratracheal Mass: Primary Tracheal Tumor Presenting as an Isolated Paratracheal Lesion

Prakhar Sharma, Prakash Sivaramakrishnan, Mayank Mishra, Girish Sindhwani

Keywords : Case report, Primary tracheal tumor, Stridor, Tracheal tumors

Citation Information : Sharma P, Sivaramakrishnan P, Mishra M, Sindhwani G. Stridor and Paratracheal Mass: Primary Tracheal Tumor Presenting as an Isolated Paratracheal Lesion. 2024; 3 (1):6-9.

DOI: 10.5005/jp-journals-11006-0081

License: CC BY-NC 4.0

Published Online: 30-12-2023

Copyright Statement:  Copyright © 2024; The Author(s).


A mid-40s nonsmoker man presented with acute symptoms of hoarseness of voice and stridor on expiration for the past 2 weeks. His general and systemic examination was unremarkable except for resting tachycardia and mild hypoxemia. Contrast-enhanced tomography of the chest (CECT) thorax revealed a right paratracheal mass lesion causing near-complete obstruction of the upper trachea, for which he underwent a rigid bronchoscopy procedure the next day with biopsy from the endoluminal mucosal infiltration of the trachea. Histopathology revealed non-small cell lung cancer (NSCLC) characteristics with p40 and p63 positivity on immunohistochemistry. Positron emission tomography-computed tomography (PET-CT) showed no metabolic activity in any other part of the body. The patient also underwent an upper gastrointestinal (GI) endoscopy, 70° nasal endoscopy, to rule out other primaries, which were normal. The patient was planned for definitive chemoradiotherapy along with a tracheal metallic stenting procedure. Postprocedure, the patient's symptoms improved, and he was discharged in good health and has been doing well in follow-up. This case demonstrates an extremely rare presentation of primary tracheal tumors (PTT) as a paratracheal mass with no metastases.

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