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Background: Tracheal Squamous Cell Carcinoma (SCC) is a rare primary tumour. Currently, surgery is the main treatment, but it becomes the biggest obstacle to surgery when the tumour invades the trachea for more than 6 cm.  Case presentation: A 56-year-old Asian man presented with expectoration and asthma as his initial symptoms. Because of the particularity of tumour location and volume, we removed the 7 cm bronchus and performed carinau reconstruction.  Conclusion: How to treat the rare tumours at tracheal carina is a valuable and rare example that could be reference in many centres.

A 7 cm trachea resection and carina reconstruction due to a rare tracheal carina tumor