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CASE REPORT
All that wheezes is not asthma
  1. Parvaiz A Koul1,
  2. Umar H Khan2,
  3. Tajamul Hussain Shah2,
  4. Abdul Majid Dar3
  1. 1Department of Internal & Pulmonary Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
  2. 2Department of Internal Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
  3. 3Department of Cardiovascular &Thoracic Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India
  1. Correspondence to Dr Parvaiz A Koul, parvaizk{at}gmail.com

Summary

A young woman was admitted with respiratory failure. Prior to her admission, she had been treated for clinical bronchial asthma for about 2 years for recurrent wheezing. Endotracheal intubation was difficult. A fibroptic brochoscopy, while the patient was ventilated, revealed a central tracheal tumour compromising >90% of the tracheal lumen. The tumour was cored out during rigid bronchoscopy while ventilating the patient through tracheostomy. Histopathology of the tumour was suggestive of adenoid cystic carcinoma.

https://doi.org/10.1136/bcr-2013-202369

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