A Deceptive Tracheal Mass Mimicking Asthma

Primary tracheal tumours represent a rare malignancy characterized by a generally slow growth pattern. Notably, most cases are not of primary tracheal origin; instead, they arise from the local invasion of cancers originating in the lung, thyroid, or esophagus. Adenoid cystic carcinomas (ACCs) represent the second most prevalent primary tracheal tumours, making up around 10%-15% of cases. They generally have a more favourable prognosis than squamous cell carcinoma, the most frequently encountered type. Herein, we present the case of a 35-year-old female patient misdiagnosed and treated as asthma. The diagnosis was confirmed by cryo biopsy and histopathological examination. Surgical excision remains the treatment of choice. An active follow-up surveillance is needed to look for recurrence.