Published in:
Open Access 01-12-2019 | Bronchoscopy | Case report
Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytoma
Published in: Journal of Cardiothoracic Surgery | Issue 1/2019
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Background
Angiomatoid fibrous histiocytoma (AFH) is a soft-tissue tumor that generally affects the extremities of children and young adults. AFH overlaps with primary pulmonary myxoid sarcoma (PPMS) and can occur in unusual locations.
Case presentation
We present a case of a 22-year-old female with AFH in the distal trachea. In addition to describing the challenge in making a correct diagnosis of AFH, we describe the first case of successful hybrid bronchoscopic and surgical resection of endotracheal AFH. A staged removal procedure was required to quickly secure the airway, allowing a lower-risk elective distal tracheal resection through a cervical approach for complete resection. A more conventional, but more invasive, more painful and cosmetically less satisfying thoracotomy was avoided.
Conclusions
A distal tracheal resection for AFH can be safely performed in young adults through a cervical approach with excellent follow-up results.