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Case Reports

Two-Stage Tracheal Reconstruction of Primary Tracheal Non-Hodgkin Lymphoma With Nitinol Mesh Stent and Cervical Myocutaneous Flap

^a Guangzhou Institute of Respiratory Disease, First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
^b PLA Institute of Respiratory Disease, General Hospital of Guangzhou Military Command, Guangzhou, China

Accepted for publication December 3, 2007.

^_* Address correspondence to Dr Cai, Guangzhou Institute of Respiratory Disease, 151 Yanjiang Rd, Guangzhou, 510012, China (Email: rashcc{at}gmail.com).

Primary tracheal non-Hodgkin lymphoma is an extremely rare entity without consensus management strategy. We present a case of primary tracheal lymphoplasmacytoid lymphoma masquerading as asthma with wheezing and progressive dyspnea. A patented nitinol mesh stent was implanted in the right lateral cervical region 3 weeks before tumor resection. After 5.5-cm-long segmental tracheal resection, a neotracheal tube was constructed with cervical myocutaneous flap sandwiched around the implanted mesh stent, which was then anastomosed with the residual of the patient’s trachea. The patient has been well for 30 months.