case_images: PMC9888602_01
case_images: (a) Sagittal view of CT revealing the extension of the tumor (white arrow). (b) Axial view of CT revealing the extent of obstruction of a tracheal lumen (white arrow).. CT: computed tomography
case_images: cureus-0015-00000033203-i01.jpg
case_images: PMC9888602_01_cureus-0015-00000033203-i01.jpg
case_images: FIG1
case_images: The patient had a recent computed tomography (CT) scan that showed a large obstructive endotracheal mass arising from the posterior tracheal wall with dimensions of 2.4 x 1.4 x 4.5 cm, approximately, with no evidence of lymph node metastases or locoregional invasion (Figure 1a, 1b).
case_images: (a) Intraoperative endoscopic visualization of the tumor after tracheotomy was performed. (b) Intraoperative endoscopic visualization, from tracheostomy, of tumor extension inside the tracheal lumen. (c) Endoscopic visualization of the carina after partial tumor debulking.
case_images: cureus-0015-00000033203-i02.jpg
case_images: PMC9888602_01_cureus-0015-00000033203-i02.jpg
case_images: FIG2
case_images: Using a 45  rigid endoscope that was inserted from the tracheostomy, we managed to visualize all the tumors, which extended below the tracheostomy until a few cm above the carina (Figure 2a, 2b, 2c).
case_images: Postoperative endoscopic examination before patient discharge.
case_images: cureus-0015-00000033203-i03.jpg
case_images: PMC9888602_01_cureus-0015-00000033203-i03.jpg
case_images: FIG3
case_images: A postoperative endoscopic examination was performed (Figure 3), and the patient was discharged after four days.