System: Head and Neck: Trachea: Neoplastic: Paraganglioma
Squamous mucosa in upper left, tumor underneath Image
nested tumor with clear cytoplasm, uniform round cells, highly vascular Image
polypoid submucosal mass, may even present with airway obstruction or hemoptysis; 3-4 x more common in women; usually 4-6th decade of life; somewhat of a predilection for the posterior wall of trachea
complete excision; pre-op embolization to devascularize the tumor may be helpful
most often benign, but may recur, 2% behave in a malignant fashion