A 10-year-old girl who had been treated for presumed asthma during the prev
ious year, was admitted to our hospital with dyspnea and wheezing. An endot
racheal tumor was detected and a tracheal resection was performed. The tumo
r was diagnosed as a fibrohistiocytic tumor. Biologic behavior of fibrohist
iocytic tumors of the trachea is not clear and morphologically similar case
s are interpreted as malignant or benign by different authors. However, an
analysis of the present case and 11 well documented cases in the literature
shows that this tumor must be evaluated as a low-grade malignancy and init
ial complete tumor resection is necessary. (C) 1999 Elsevier Science B.V. A
ll rights reserved.