Surgical management of tracheal chondrosarcoma

Acta Chir Belg. 2022 Oct;122(5):361-365. doi: 10.1080/00015458.2020.1863039. Epub 2020 Dec 25.

Abstract

Background: Tracheal chondrosarcoma is an extremely rare, slow-growing, malignant tumour. This study aims to analyze the cases of tracheal chondrosarcoma published in the literature and our case report, in order to better define tracheal chondrosarcoma management.Methods: A systematic review of the English literature was carried out for fully described tracheal chondrosarcoma cases. Additionally, we reported a new case of a 58-year-old man undergoing tracheal resection and reconstruction for tracheal chondrosarcoma.Results: To date, 30 cases were published. This tumour predominantly involved male patients (93%; median age: 65 years), generally conditioning dyspnoea and cough. Most of the patients underwent tracheal resection with end-to-end anastomosis, without recurrence (median follow-up: 2 years). Tumours endoscopically treated recurred in half cases.Conclusion: Tracheal resection is the treatment of choice for chondrosarcoma, with an excellent prognosis. Endoscopic treatment and/or radiotherapy should be indicated for patients unfit for surgery.

Keywords: Tracheal chondrosarcoma; chondrogenic tumour; tracheal resection; tracheal tumour.

Publication types

  • Case Reports
  • Systematic Review

MeSH terms

  • Aged
  • Anastomosis, Surgical
  • Bone Neoplasms* / surgery
  • Chondrosarcoma* / surgery
  • Endoscopy
  • Humans
  • Male
  • Middle Aged
  • Tracheal Neoplasms* / diagnosis
  • Tracheal Neoplasms* / surgery