Mucoepidermoid carcinoma of the trachea

A 24-year-old gentleman, previously medically free, presented with symptoms of cough and intermittent hemoptysis for several weeks. Laboratory work up was within normal limits. CT-scan of the neck and chest was done and revealed a 1.5×1.5×0.9 cm lobulated intraluminal tracheal mass arising from the posterior tracheal wall at the level of upper manubrium, with possible invasion of mediastinal fat posterior to the tracheal wall. There was no evidence of lymphadenopathy. Flexible bronchoscopy showed a large tracheal tumor (Figure 1) obstructing 60–70% of the trachea. Needle biopsy revealed low-grade mucoepidermoid carcinoma (Figure 2).