Adzic-Vukicevic, Tatjana (56888756300)Tatjana (56888756300)Adzic-VukicevicBarac, Aleksandra (55550748700)Aleksandra (55550748700)BaracBlanka-Protic, Ana (57201503514)Ana (57201503514)Blanka-ProticPopovic, Spasoje (57206417619)Spasoje (57206417619)PopovicUskokovic-Stefanovic, Zivka (57202421224)Zivka (57202421224)Uskokovic-StefanovicStojsic, Jelena (23006624300)Jelena (23006624300)StojsicIlic, Aleksandra Dudvarski (7004055911)Aleksandra Dudvarski (7004055911)Ilic2025-06-122025-06-122018https://doi.org/10.4103/jrms.JRMS_831_17https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048257917&doi=10.4103%2fjrms.JRMS_831_17&partnerID=40&md5=eea93f9ec6c1ed589e862f715921be3ahttps://remedy.med.bg.ac.rs/handle/123456789/6438We reported the first case of inoperative thymic adenocarcinoma successfully palliative treated by the double.stent procedure. In a patient who expressed stridor, computed tomography was done and necrotic mediastinal mass, which protrudes into a trachea, was demonstrated. Fiberoptic bronchoscopy showed tracheal infiltration and 70% stenosis; therefore, surgical resection was inapplicable. Recanalization with repeated argon plasma coagulation and debridement of necrotic mass was performed, followed by placement of the endotracheal stent, radiotherapy, and chemotherapy. After 1 year, the patient developed gastric aspiration and tracheoesophageal fistula; therefore, the esophageal stent was placed. The outcome was lethal, but the placement of endotracheal stent significantly increased a length of survival for the patient with invasive thymic adenocarcinoma. © 2018 Journal of Research in Medical Sciences.AdenocarcinomaPalliative careStentThymusTracheoesophageal fistula