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Child with mucoepidermoid carcinoma of the trachea
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DOI：10.1136/bcr-2025-271594.png)
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Abstract
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Mucoepidermoid carcinoma originates from the submucosal glands of the tracheobronchial tree. It is structurally homologous with exocrine salivary glands. It is a rare tumour, consisting of 0.1% to 0.2% of primary lung malignancies. Complete surgical resection is the treatment of choice and is associated with an excellent prognosis. Here we present a case where a boy in his teenage years came with a dry cough and haemoptysis. Contrast-enhanced CT confirmed the presence of a polypoidal enhancing space-occupying lesion arising from the right anterolateral aspect of the carina, protruding into the right main bronchus, causing near complete narrowing. The initial biopsy suggested a benign polyp, which led to complete excision of the polyp using an electro-cautery snare. The repeat histopathology suggested a low-grade muco-epidermoid carcinoma, which further required surgical sleeve resection of the distal trachea.Summary Mucoepidermoid carcinoma originates from the submucosal glands of the tracheobronchial tree. It is structurally homologous with exocrine salivary glands. It is a rare tumour, consisting of 0.1% to 0.2% of primary lung malignancies. Complete surgical resection is the treatment of choice and is associated with an excellent prognosis. Here we present a case where a boy in his teenage years came with a dry cough and haemoptysis. Contrast-enhanced CT confirmed the presence of a polypoidal enhancing space-occupying lesion arising from the right anterolateral aspect of the carina, protruding into the right main bronchus, causing near complete narrowing. The initial biopsy suggested a benign polyp, which led to complete excision of the polyp using an electro-cautery snare. The repeat histopathology suggested a low-grade muco-epidermoid carcinoma, which further required surgical sleeve resection of the distal trachea.Summary Mucoepidermoid carcinoma originates from the submucosal glands of the tracheobronchial tree. It is structurally homologous with exocrine salivary glands. It is a rare tumour, consisting of 0.1% to 0.2% of primary lung malignancies. Complete surgical resection is the treatment of choice and is associated with an excellent prognosis. Here we present a case where a boy in his teenage years came with a dry cough and haemoptysis. Contrast-enhanced CT confirmed the presence of a polypoidal enhancing space-occupying lesion arising from the right anterolateral aspect of the carina, protruding into the right main bronchus, causing near complete narrowing. The initial biopsy suggested a benign polyp, which led to complete excision of the polyp using an electro-cautery snare. The repeat histopathology suggested a low-grade muco-epidermoid carcinoma, which further required surgical sleeve resection of the distal trachea.Summary Mucoepidermoid carcinoma originates from the submucosal glands of the tracheobronchial tree. It is structurally homologous with exocrine salivary glands. It is a rare tumour, consisting of 0.1% to 0.2% of primary lung malignancies. Complete surgical resection is the treatment of choice and is associated with an excellent prognosis. Here we present a case where a boy in his teenage years came with a dry cough and haemoptysis. Contrast-enhanced CT confirmed the presence of a polypoidal enhancing space-occupying lesion arising from the right anterolateral aspect of the carina, protruding into the right main bronchus, causing near complete narrowing. The initial biopsy suggested a benign polyp, which led to complete excision of the polyp using an electro-cautery snare. The repeat histopathology suggested a low-grade muco-epidermoid carcinoma, which further required surgical sleeve resection of the distal trachea.
Keywords:
Respiratory cancer
Surgical oncology
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