CTICasesMetastatic Endometrial Adenocarcinoma Invading Trachea
Imaging findings
Chest radiograph suggests a lesion in the distal trachea/carina region. CT reveals a mass primarily located in the left paratracheal space, which is eroding into the trachea and extending towards the carina, causing significant airway narrowing. Associated findings include other lymph nodes and a large left supraclavicular node.
Key takeaways
Metastatic disease, particularly from endometrial adenocarcinoma, can present with mediastinal lymphadenopathy and direct invasion of the trachea, leading to symptoms like shortness of breath, stridor, and wheezing. This represents a complex management challenge, often requiring specialized equipment for airway management and tumor debulking. The case highlights the importance of considering metastatic disease even years after primary cancer diagnosis.
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