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Paediatric tracheal carcinoid with carinal involvement and nodal metastasis: challenging airway reconstruction with oncological clearance.

Created on 22 Aug 2026

Authors

Rohan Kapoor, Sunil Kumar, Naveen Kumar, Nikhil B N

Published in

BMJ case reports. Volume 19. Issue 8. Aug 21, 2026. Epub Aug 21, 2026.

Abstract

Tracheal carcinoid tumours are exceptionally rare neuroendocrine neoplasms, particularly in the paediatric population. We present the case of a teenage girl with longstanding dyspnoea and intermittent haemoptysis, ultimately diagnosed with a typical carcinoid involving the distal trachea and both main bronchi. Bronchoscopy biopsy confirmed the diagnosis. She underwent tracheal resection and complex carinal reconstruction with cardiopulmonary bypass. Histopathology revealed a grade 1 typical carcinoid with metastatic involvement in two of five subcarinal lymph nodes. Postoperative recovery was smooth, and she remains disease-free on follow-up. This case underscores the need to consider rare airway tumours in persistent respiratory symptoms, the potential for nodal spread in otherwise low-grade lesions and the curative potential of meticulous surgical intervention.

PMID:
42628989
Bibliographic data and abstract were imported from PubMed on 22 Aug 2026.

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