Case Report: Adenoid Cystic Carcinoma of the Trachea Mimicking Bronchial Asthma

Authors

  • Thanamogan. K Department of Pathology, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400 Selangor
  • Maizaton Atmadini Abdullah Department of Pathology, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400 Selangor
  • Amizatul Aini Salleh Department of Pathology, Hospital Serdang, Serdang 43400 Selangor
  • Elmina Mohamad Mokhtar Department of Pathology, Hospital Serdang, Serdang 43400 Selangor
  • Rathika Rajah Department of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Jalan Yaakob Latif, Bandar Tun Razak, 56000 Kuala Lumpur
  • Chun Ian Soo Department of Medicine, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Jalan Yaakob Latif, Bandar Tun Razak, 56000 Kuala Lumpur

DOI:

https://doi.org/10.37934/scbtrj.1.1.6064

Keywords:

Adenoid cystic carcinoma, trachea, minor salivary gland

Abstract

We discussed a 54 years old Malay gentleman who presented to the emergency department with severe difficulty in breathing and wheezing. The patient almost collapsed and an emergency intubation was done followed by a CT scan of the neck and thorax later. CT scan showed an ill-defined heterogenously enhancing intramural lesion measuring 2.7 x 2.4 x 3.3 cm arising from the posterior tracheal wall and projecting into the tracheal lumen. A rigid bronchoscopy showed a polypoidal tumour mass at the lower one third of the trachea occluding the lumen. Partial resection of tumour and tracheal stenting were performed to relieve the obstruction. Histopathological examination of the resected sample showed a cellular tumour with cribriform pattern. The tumour composed of epithelial and myoepithelial cells. The cells displayed uniform basaloid to ovoid nuclei and scanty cytoplasm. Some of the epithelial cells showed mildly pleomorphic nuclei with prominent nucleoli. The cribriform pattern composed of predominantly myoepithelial cells with myxoid background or hyalinized globules. Mitotic figures were rarely seen. The stroma was hyalinized. A diagnosis of adenoid cystic carcinoma (ACC) was made.

Author Biography

Maizaton Atmadini Abdullah, Department of Pathology, Faculty of Medicine and Health Science, Universiti Putra Malaysia, Serdang 43400 Selangor

maizaton@upm.edu.my

Published

2024-05-31

How to Cite

K, T., Abdullah, M. A. ., Salleh, A. A. ., Mohamad Mokhtar, E. ., Rajah, R. ., & Soo, C. I. (2024). Case Report: Adenoid Cystic Carcinoma of the Trachea Mimicking Bronchial Asthma . Semarak Current Biomedical Technology Research Journal, 1(1), 60–64. https://doi.org/10.37934/scbtrj.1.1.6064

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