Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive history of dyspnea, chronic non-productive cough, and intermittent hemoptysis. Symptoms are consistent with central airway obstruction. No history of smoking or significant occupational exposure. Onset of symptoms is insidious, with recent exacerbation of stridor during exertion.
Clinical Examination Findings
Airway examination reveals audible inspiratory stridor. Pulmonary auscultation demonstrates localized wheezing over the tracheal region. No cervical lymphadenopathy palpated. Performance status (ECOG) is [Score]. Fiberoptic bronchoscopy confirms a firm, submucosal, polypoid mass arising from the posterior or lateral tracheal wall, causing significant luminal narrowing.
Treatment Protocol
Recommended management includes surgical resection with primary tracheal reconstruction (cricotracheal or tracheal resection). Adjuvant radiotherapy is indicated for positive margins or perineural invasion. Multidisciplinary tumor board review scheduled for [Date]. Consider systemic therapy for unresectable or metastatic disease.