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Ann Thorac Surg 2006;82:1898-1900
© 2006 The Society of Thoracic Surgeons
a Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
b Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
c Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York
d Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York
Accepted for publication March 13, 2006.
* Address correspondence to Dr Voigt, Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue M-210, New York, NY 10021. (Email: voigtl{at}mskcc.org).
Follicular dendritic cell tumors are rare cancers of the lymph nodes of the head and neck. Despite a relatively high rate of recurrence, these neoplasms have a limited impact on the airways because they can be potentially cured by surgical resection. We present the case of a young woman with an unresectable follicular dendritic cell tumor involving the paratracheal region causing upper airway obstruction and respiratory failure. This malignant tumor created numerous management dilemmas and therapeutic challenges related to the unstable airway and the need for tracheal stenting to bypass the airway obstruction.
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