Tracheoesophageal fistula diagnosis during open tracheostomy

Lung India • Volume 35 • Issue 2 • March-April 2018 187 therapeutic implications. In the study of IL, it is essential to establish the histological subtype. The myxoid L is highly radiosensitive and remarkable response has been reported, with volume reduction of 52%, lipoma-like transformation and dense vascular pattern.[3] Radiotherapy is believed to be an ineffective therapeutic modality for survival of dedifferentiated and pleomorphic subtypes. According to the classification of tumor location, the terms mediastinal, lung, or pleural L may be used exclusively for the tumor limited to origin site. When L extends to two or all intrathoracic locations, the term IL is more appropriate. The accurate description of the tumor extension should be described in the report. Because of the expansile rather than infiltrative growth pattern of myxoid L, patients often present with few symptoms despite having large or even massive tumor.[4]