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4 . 2022

Rare cases in endoscopic oncology: a case series

Abstract

Tracheal tumors account for less than 2% of all upper respiratory tract tumors and are usually malignant in adult population. Нemangioma is a benign vascular lesion. Differential diagnosis of capillary hemangioma of tracheal localization should be carried out with posttraumatic granulation tissue, angiosarcoma, angioendothelioma, Kaposi’s sarcoma. Treatment includes removing the formation due to recurrent episodes of bleeding. The article presents a clinical case of a 23-year-old man with episodes of recurrent hemoptysis, the cause of which was a lobular capillary hemangioma of the trachea. 

Following lung and breast cancer renal cell carcinoma is the third most common tumor of subclavian localization, metastasizing to the head and neck. The clinical picture may manifest as episodes of epistaxis. Increased bleeding is caused by possible Hippel-Landau mutation in patients with renal cell carcinoma. In this regard, diagnosis is difficult, since verification is associated with a high risk of bleeding, as well as obtaining uninformative material among a large amount of blood. The article considers the case of a 68-year-old patient with complaints of recurrent episodes of epistaxix accompanied by reduction of hemoglobin levels. The above observation demonstrates a rare variant of metastasis of kidney cancer.

Early detection of foreign bodies in the respiratory tract and removal are the primary task facing an endoscopist who suspects such a case. Despite the fact that the majority of patients with foreign bodies are children, cases are not uncommon in the adult population. The article presents a clinical case of prolonged stay in the intermediate bronchus (of the vocal apparatus) as a result of its aspiration. 

Keywords:bronchoscopy; capillary lobular hemangioma; metastatic renal cell carcinoma; foreign body in the upper airway

Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Tcherkes L.V., Kurdanova M.Yu. Rare cases in endoscopic oncology: a case series. Clinical and Experimental Surgery. Petrovsky Journal. 2022; 10 (4): 38–45. DOI: https://doi.org/10.33029/2308-1198-2022-10-4-38-45  (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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