Juvenile hemangiomas involving the thoracic trachea in children: report of two cases

J Pediatr Surg. 1992 Oct;27(10):1291-3. doi: 10.1016/0022-3468(92)90276-d.


Two 3-month-old girls presented with posterior mediastinal juvenile hemangioma (JH), a benign tumor rarely found in the mediastinum. Incomplete resections were performed. Over 4 and 7 months, respectively, the hemangiomas recurred and grew through the tracheal wall into the tracheal lumina, reducing the airway by 90% in one case and 70% in the other. The recurrences were resected, including five tracheal rings in the first case and four in the second. In case 1 the tumor recurred in the trachea 2 months later. A tracheostomy was performed, and corticosteroids were administered for 6 months. The tumor involuted and the patient was decannulated after 18 months; she is doing well 7 years later. The patient in case 2 has been well in the 18 months since her second operation. Airway obstructions can be treated by tracheal resection when conservative management fails.

Publication types

  • Case Reports

MeSH terms

  • Airway Obstruction / pathology
  • Airway Obstruction / surgery
  • Bronchoscopy
  • Combined Modality Therapy
  • Female
  • Hemangioendothelioma / congenital*
  • Hemangioendothelioma / pathology
  • Hemangioendothelioma / surgery
  • Humans
  • Infant
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / surgery
  • Prednisone / administration & dosage
  • Trachea / pathology
  • Tracheal Neoplasms / congenital*
  • Tracheal Neoplasms / pathology
  • Tracheal Neoplasms / surgery
  • Tracheostomy


  • Prednisone