Hyderabad: The air we breathe through the nose goes into the lungs through the respiratory tract. Even if there is any small rice grain in that respiratory tract, it will be a great difficulty and inconvenience. What would be the situation if a particle occupied almost the entire respiratory tract?
A 58-year-old patient from Nizamabad, with no comorbidities, and no history of smoking suffered from severe cough, fatigue, and fever due to a massive tumor in the respiratory tract and came to KIMS Hospital in Hyderabad on a ventilator.
KIMS doctors treated him by removing such a large tumor, which normally had to be surgically removed, in an alternative manner. Dr. Srikanth Kishan Juvva, a pulmonologist at KIMS Hospital, gave details of the case.
“The patient was rushed to a hospital in Nizamabad after he complained of severe fatigue and breathlessness. Though the doctors there were treating him on a ventilator in the ICU, he wasn’t getting any better. So, they referred him to KIMS Hospital for better treatment.
By the time he came here, the patient had a severe cough, fatigue, and fever. A bronchoscope shows that there is a large tumor in the respiratory tract. With a width of 1.8 centimeters and a length of 2.5 centimeters, it occupied almost 80-90% of the respiratory tract. Generally, in men, the width of the respiratory tract is only between 1.5 and 2 cm. If detected earlier, there may not be such a problem.
This patient has been suffering for almost three months. These are very slow-growing tumors. It was only occasionally that there was cough and fatigue. But, the condition has worsened in these three months. We can only identify them if they occupy 70-80% of the respiratory tract, there is no problem. Hence it becomes difficult to diagnose in advance.
Normally, such a large tumor is operated upon and removed. But in this case, we removed the tumor in an endoscopic method using a device called a rigid bronchoscope. It is very rare for such large particles of this type to be removed without the need for surgery. In fact, these types of tumors are very rare. They affect only about one in 1 crore people. After removing the tumor, we sent it for biopsy.
It was a benign tumor, so that’s not cancer. Therefore, in the future, a bronchoscopy will be enough and there is no need to use medicines. Since we have already removed the tumor, the possibility of it growing again is very low. Had it been cancer, it would have increased again,” explained Dr. Srikanth Kishan Juvva.