Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytoma

Wobbe Bouma; Kor Johan Koning; Albert J H Suurmeijer; Dirk Jan Slebos; Massimo A Mariani; Theo J Klinkenberg

doi:10.1186/s13019-019-0861-7

Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytoma

Wobbe Bouma, Kor Johan Koning, Albert J H Suurmeijer, Dirk Jan Slebos, Massimo A Mariani, Theo J Klinkenberg

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Abstract

BACKGROUND: Angiomatoid fibrous histiocytoma (AFH) is a soft-tissue tumor that generally affects the extremities of children and young adults. AFH overlaps with primary pulmonary myxoid sarcoma (PPMS) and can occur in unusual locations.

CASE PRESENTATION: We present a case of a 22-year-old female with AFH in the distal trachea. In addition to describing the challenge in making a correct diagnosis of AFH, we describe the first case of successful hybrid bronchoscopic and surgical resection of endotracheal AFH. A staged removal procedure was required to quickly secure the airway, allowing a lower-risk elective distal tracheal resection through a cervical approach for complete resection. A more conventional, but more invasive, more painful and cosmetically less satisfying thoracotomy was avoided.

CONCLUSIONS: A distal tracheal resection for AFH can be safely performed in young adults through a cervical approach with excellent follow-up results.

Original language	English
Article number	48
Number of pages	3
Journal	Journal of cardiothoracic surgery
Volume	14
Issue number	1
DOIs	https://doi.org/10.1186/s13019-019-0861-7
Publication status	Published - 28-Feb-2019

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Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytomaFinal publisher's version, 3.56 MBLicence: CC BY

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title = "Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytoma",

abstract = "BACKGROUND: Angiomatoid fibrous histiocytoma (AFH) is a soft-tissue tumor that generally affects the extremities of children and young adults. AFH overlaps with primary pulmonary myxoid sarcoma (PPMS) and can occur in unusual locations.CASE PRESENTATION: We present a case of a 22-year-old female with AFH in the distal trachea. In addition to describing the challenge in making a correct diagnosis of AFH, we describe the first case of successful hybrid bronchoscopic and surgical resection of endotracheal AFH. A staged removal procedure was required to quickly secure the airway, allowing a lower-risk elective distal tracheal resection through a cervical approach for complete resection. A more conventional, but more invasive, more painful and cosmetically less satisfying thoracotomy was avoided.CONCLUSIONS: A distal tracheal resection for AFH can be safely performed in young adults through a cervical approach with excellent follow-up results.",

author = "Wobbe Bouma and Koning, {Kor Johan} and Suurmeijer, {Albert J H} and Slebos, {Dirk Jan} and Mariani, {Massimo A} and Klinkenberg, {Theo J}",

year = "2019",

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day = "28",

doi = "10.1186/s13019-019-0861-7",

language = "English",

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T1 - Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytoma

AU - Bouma, Wobbe

AU - Koning, Kor Johan

AU - Suurmeijer, Albert J H

AU - Slebos, Dirk Jan

AU - Mariani, Massimo A

AU - Klinkenberg, Theo J

PY - 2019/2/28

Y1 - 2019/2/28

N2 - BACKGROUND: Angiomatoid fibrous histiocytoma (AFH) is a soft-tissue tumor that generally affects the extremities of children and young adults. AFH overlaps with primary pulmonary myxoid sarcoma (PPMS) and can occur in unusual locations.CASE PRESENTATION: We present a case of a 22-year-old female with AFH in the distal trachea. In addition to describing the challenge in making a correct diagnosis of AFH, we describe the first case of successful hybrid bronchoscopic and surgical resection of endotracheal AFH. A staged removal procedure was required to quickly secure the airway, allowing a lower-risk elective distal tracheal resection through a cervical approach for complete resection. A more conventional, but more invasive, more painful and cosmetically less satisfying thoracotomy was avoided.CONCLUSIONS: A distal tracheal resection for AFH can be safely performed in young adults through a cervical approach with excellent follow-up results.

AB - BACKGROUND: Angiomatoid fibrous histiocytoma (AFH) is a soft-tissue tumor that generally affects the extremities of children and young adults. AFH overlaps with primary pulmonary myxoid sarcoma (PPMS) and can occur in unusual locations.CASE PRESENTATION: We present a case of a 22-year-old female with AFH in the distal trachea. In addition to describing the challenge in making a correct diagnosis of AFH, we describe the first case of successful hybrid bronchoscopic and surgical resection of endotracheal AFH. A staged removal procedure was required to quickly secure the airway, allowing a lower-risk elective distal tracheal resection through a cervical approach for complete resection. A more conventional, but more invasive, more painful and cosmetically less satisfying thoracotomy was avoided.CONCLUSIONS: A distal tracheal resection for AFH can be safely performed in young adults through a cervical approach with excellent follow-up results.

U2 - 10.1186/s13019-019-0861-7

DO - 10.1186/s13019-019-0861-7

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SN - 1749-8090

VL - 14

JO - Journal of cardiothoracic surgery

JF - Journal of cardiothoracic surgery

IS - 1

M1 - 48

ER -

Hybrid bronchoscopic and surgical resection of endotracheal angiomatoid fibrous histiocytoma

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