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Updated: Jun 11, 2026

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Solitary primary tracheal small-cell lung cancer causing acute respiratory failure: diagnosis and treatment
Chou-Chin Lan1, Mei-Chen Yang, Chih-Hsin Lee
1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, 289 Jianguo Road, Xindian City, Taipei County 23142, Taiwan, Republic of China.
Abstract:
Small-cell lung cancer often presents as an extensive cancer, and rarely as a solitary tracheal tumor. We report a 41-year-old male smoker with dyspnea and wheezing that was initially diagnosed as asthma and treated with bronchodilators. He was later intubated for acute respiratory failure, and computed tomography revealed a tracheal mass. Solitary primary small-cell lung cancer was diagnosed via bronchoscopic biopsy. The patient received bronchoscopic electro-surgery and was successfully extubated. Concurrent chemo-radiotherapy was performed due to the stage IV small-cell lung cancer.
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