Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma

Tracheal adenoid cystic carcinoma is a rare malignancy. We report the case of a 65-year-old male who presented to our department due to a 3-month history of mild dysphagia without other associated symptoms. The neck, laryngeal, and hypopharyngeal examinations were normal. Ultrasound showed hypertrop...

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Main Authors: Mariam Ben Ayed, MD, Makram Tbini, MD, Inès Riahi, MD, Sarra Idriss, MD, Mamia Ben Salah, MD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013244
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author Mariam Ben Ayed, MD
Makram Tbini, MD
Inès Riahi, MD
Sarra Idriss, MD
Mamia Ben Salah, MD
author_facet Mariam Ben Ayed, MD
Makram Tbini, MD
Inès Riahi, MD
Sarra Idriss, MD
Mamia Ben Salah, MD
author_sort Mariam Ben Ayed, MD
collection DOAJ
description Tracheal adenoid cystic carcinoma is a rare malignancy. We report the case of a 65-year-old male who presented to our department due to a 3-month history of mild dysphagia without other associated symptoms. The neck, laryngeal, and hypopharyngeal examinations were normal. Ultrasound showed hypertrophy and marked hypoechogenicity of the left thyroid lobe without suspicious nodules. Fine needle aspiration of the hypoechogenic area revealed an adenoid cystic carcinoma. A tracheal origin was then suspected and it was confirmed by a flexible bronchoscopy that showed a tumor located in the proximal tracheal reducing its lumen by 50%. The biopsy confirmed the diagnosis of tracheal adenoid cystic carcinoma. We performed a computed tomography scan showing a mass at the angle between the trachea and esophagus infiltrating the left thyroid gland. Magnetic resonance imaging confirmed the tumor's important local and regionregional extension at the thyroid gland, esophagus, larynx, and mediastinum. The tumor was judged as unresectable and the patient received radiotherapy and an endotracheal sent. After a follow-up period of 2 years, the tumor remained stable, and the patient receivedThis study aims to determine the clinical, radiological, and therapeutic aspects of advanced adenoid cystic carcinoma.
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institution Kabale University
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publishDate 2025-03-01
publisher Elsevier
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series Radiology Case Reports
spelling doaj-art-419f6cefe0b7488e80e7093d9ff0c5a12025-01-18T05:03:56ZengElsevierRadiology Case Reports1930-04332025-03-0120314061409Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinomaMariam Ben Ayed, MD0Makram Tbini, MD1Inès Riahi, MD2Sarra Idriss, MD3Mamia Ben Salah, MD4Department of Otorhinolaryngology Head and Neck Surgery, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University Tunis el Manar, Tunis, Tunisia; Corresponding author.Department of Otorhinolaryngology Head and Neck Surgery, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University Tunis el Manar, Tunis, TunisiaDepartment of Otorhinolaryngology Head and Neck Surgery, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University Tunis el Manar, Tunis, TunisiaDepartment of Otorhinolaryngology Head and Neck Surgery, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University Tunis el Manar, Tunis, TunisiaDepartment of Otorhinolaryngology Head and Neck Surgery, Charles Nicolle Hospital, Tunis, Tunisia; Faculty of Medicine, University Tunis el Manar, Tunis, TunisiaTracheal adenoid cystic carcinoma is a rare malignancy. We report the case of a 65-year-old male who presented to our department due to a 3-month history of mild dysphagia without other associated symptoms. The neck, laryngeal, and hypopharyngeal examinations were normal. Ultrasound showed hypertrophy and marked hypoechogenicity of the left thyroid lobe without suspicious nodules. Fine needle aspiration of the hypoechogenic area revealed an adenoid cystic carcinoma. A tracheal origin was then suspected and it was confirmed by a flexible bronchoscopy that showed a tumor located in the proximal tracheal reducing its lumen by 50%. The biopsy confirmed the diagnosis of tracheal adenoid cystic carcinoma. We performed a computed tomography scan showing a mass at the angle between the trachea and esophagus infiltrating the left thyroid gland. Magnetic resonance imaging confirmed the tumor's important local and regionregional extension at the thyroid gland, esophagus, larynx, and mediastinum. The tumor was judged as unresectable and the patient received radiotherapy and an endotracheal sent. After a follow-up period of 2 years, the tumor remained stable, and the patient receivedThis study aims to determine the clinical, radiological, and therapeutic aspects of advanced adenoid cystic carcinoma.http://www.sciencedirect.com/science/article/pii/S1930043324013244TrachealAdenoid cystic carcinomaThyroid glandLaryngeal extension
spellingShingle Mariam Ben Ayed, MD
Makram Tbini, MD
Inès Riahi, MD
Sarra Idriss, MD
Mamia Ben Salah, MD
Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
Radiology Case Reports
Tracheal
Adenoid cystic carcinoma
Thyroid gland
Laryngeal extension
title Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
title_full Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
title_fullStr Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
title_full_unstemmed Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
title_short Tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
title_sort tracheal adenoid cystic carcinoma presenting as a locally advanced thyroid gland carcinoma
topic Tracheal
Adenoid cystic carcinoma
Thyroid gland
Laryngeal extension
url http://www.sciencedirect.com/science/article/pii/S1930043324013244
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AT inesriahimd trachealadenoidcysticcarcinomapresentingasalocallyadvancedthyroidglandcarcinoma
AT sarraidrissmd trachealadenoidcysticcarcinomapresentingasalocallyadvancedthyroidglandcarcinoma
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