A 12-year-old girl presented to the clinic with a 3-month history of intermittent stridor. Her symptoms were initially most prominent while playing sports and were suspected to be due to asthma or seasonal allergies. However, medical management with albuterol, intranasal fluticasone, and cetirizine failed to provide relief. More recently, the patient’s parents noted that she developed stridor while sleeping and while at rest, prompting the family to present for medical attention.
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Previous workup, including pulmonary function testing, was concerning for an upper airway obstructive process, for which she was referred to otolaryngology. In-office flexible videostroboscopy revealed a mass in the distal cervical trachea that appeared nearly obstructive. Chest radiography confirmed the presence of an approximately 1.5-cm, well-circumscribed soft tissue mass within the cervical trachea.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Amir A. Hakimi, MD, Department of Otolaryngology–Head and Neck Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Rd NW, Washington, DC 20007 (firstname.lastname@example.org).
Published Online: February 2, 2023. doi:10.1001/jamaoto.2022.4908
Conflict of Interest Disclosures: Dr Mudd reported personal fees from Innomed outside the submitted work. No other disclosures were reported.
Additional Contributions: We thank the patient’s mother for granting permission to publish this information. We also thank Justin Kurtz, MD, and Christopher Rossi, MD, from the Department of Pathology, Children’s National Medical Center, for their assistance in histopathologic analysis. They were not compensated for their contributions.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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