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Clinical Challenge
January 2017

A Tracheal Mass

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Stanford University, Palo Alto, California
JAMA Otolaryngol Head Neck Surg. 2017;143(1):87-88. doi:10.1001/jamaoto.2016.1544

A woman in her 70s presented with a cervical tracheal mass measuring 1.6 × 1.3 cm found incidentally on magnetic resonance imaging for cervical spine pain. She had not experienced dyspnea, hoarseness, dysphagia, hemoptysis, or chest pain. Flexible fiber-optic nasolaryngoscopy demonstrated a smooth hypervascular mass arising from the posterior membranous trachea (Figure, A). The patient underwent tracheostomy and complete excision via a transtracheal approach. The patient was decannulated on postoperative day 5. Histopathologic images are shown in the Figure, B-D.