- Case Report
17 Pages
Intratracheal lymphoma is an uncommon cause of tracheal obstruction in cats. A 10-year-old spayed female Korean Shorthair cat was referred after 1 year of progressive respiratory signs and presented in lateral recumbency with open-mouth breathing and stridor. Non-contrast whole-body computed tomography (CT) without general anesthesia showed a 15.99 × 8.81 × 7.05 mm intraluminal mass in the cervical trachea that reduced luminal cross-sectional area by 87%; no other mass lesion was identified in the scanned field. Hematocrit and total thyroxine were within reference intervals, and N-terminal pro-B-type natriuretic peptide was mildly elevated. As respiratory effort persisted despite overnight oxygen, four tracheal rings were resected with end-to-end anastomosis the next day using cross-field ventilation through a temporary tracheotomy. Histopathology and immunohistochemistry identified a PAX5-positive B-cell lymphoma with clear but narrow margins. Postoperative feline leukemia virus and feline immunodeficiency virus tests were negative. Two CHOP-based cycles were given. Systemic staging was incomplete and follow-up imaging was limited to 6.5 months, when CT showed no recurrence in the field examined. Tracheal lymphoma should be considered in cats with an obstructing tracheal mass; emergency resection relieved the obstruction here, but one case cannot define the optimal treatment sequence.
Vet. Sci.
29 September 2026


![Diagnostic imaging in a cat with tracheal obstruction caused by an intraluminal tracheal mass. (a) Right lateral thoracic radiograph obtained on 14 November 2024, showing a focal intraluminal soft-tissue opacity (arrow) with marked narrowing of the cervical tracheal lumen; multiple rib fractures of uncertain origin are also present. (b–e) Non-contrast CT images (soft-tissue window) obtained at presentation without general anesthesia after intravenous butorphanol. (b) Sagittal reconstruction: the intraluminal mass at the level of C3 measures 15.99 mm in length and 7.04 mm in height. (c) Transverse image at the level of the mass: width 8.81 mm, height 7.05 mm, and minimum residual luminal diameter 1.55 mm. (d) Transverse image at the most severely obstructed level with the residual luminal cross-sectional area (CSA) outlined in red (8.84 mm2). (e) Transverse image of the adjacent normal trachea with the reference luminal CSA outlined in red (67.78 mm2). Estimated obstruction = [1 − (CSAstenotic/CSAreference)] × 100 ≈ 87%.](https://mdpi-res.com/cdn-cgi/image/width=470%2Cheight=317/https://mdpi-res.com/vetsci/vetsci-13-01032/article_deploy/html/images/vetsci-13-01032-g001-550.jpg)







