Figure 3: (A) Fiberbronchoscopy of 72-year-old man, in follow-up for squamous cell carcinoma and adenocarcinoma of the lung, showing a pedunculated intraluminal tracheal tumor, almost totally obstructing the airway lumen, with base of attachment on the left posterior wall of the upper third of the trachea; (B,C) considering the clinical situation (multiple and recurrent lung cancers) and the comorbidities of the patient, endoscopic treatment was performed and tracheal obstruction removed in rigid bronchoscopy with mechanical coring and biopsy forceps and the base of implant of the tumor was treated with Nd-Yag laser; definitive histological diagnosis revealed a metastasis from lung adenocarcinoma; (D) bronchoscopic control after endoscopic treatment.