Abstract
Endotracheal metastasis, a critical complication of primary lung cancer, is an extremely rare lesion. A 73-year-old woman who had previously received treatment for lung cancer presented to our emergency department with dyspnea. A chest computed tomography and nasopharyngolaryngoscopy showed an endotracheal mass below the epiglottis, obstructing the trachea almost completely. The patient had an emergency tracheostomy, and then the mass was removed via median laryngotomy. This lesion was proven to be a recurrent metastasis of lung cancer. Clinicians should recognize endotracheal metastasis as an important differential diagnosis in cancer patients presenting with respiratory symptoms.
Highlights
Endotracheal metastasis, a critical complication of primary lung cancer, is an extremely rare lesion
The patient had an emergency tracheostomy, and the mass was removed via median laryngotomy
A chest computed tomography (CT) and nasopharyngolaryngoscopy showed an endotracheal mass below the glottis, almost completely obstructing the trachea (Images 1 and 2). She underwent emergency tracheostomy for airway protection, and the mass was removed via median laryngotomy (Image 3)
Summary
Endotracheal metastasis, a critical complication of primary lung cancer, is an extremely rare lesion. Journal Clinical Practice and Cases in Emergency Medicine, 4(1) A 73-year-old woman who had previously received treatment for lung cancer presented to our emergency department with dyspnea. A chest computed tomography and nasopharyngolaryngoscopy showed an endotracheal mass below the epiglottis, obstructing the trachea almost completely.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
