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We describe a 40\u2010year\u2010old man presenting with hemoptysis, in whom computed tomography (CT) of the chest revealed an endoluminal mass in the upper trachea. The initial biopsy suggested adenoid cystic carcinoma. Following complete removal using two\u2010scope flexible bronchoscopic technique combining tumour snaring with cryoprobe\u2010assisted retrieval, the final diagnosis of primary tracheal EMC was confirmed on histopathology and immunohistochemistry. This case not only contributes to the limited reports of tracheal EMC but also illustrates that the two\u2010scope method may be a practical alternative to rigid bronchoscopy, especially in resource\u2010limited or complex airway situations.<\/jats:p>","DOI":"10.1002\/rcr2.70333","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T03:49:11Z","timestamp":1757303351000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Two\u2010Scope Technique for Tracheal Epithelial\u2010Myoepithelial Carcinoma\u2010A Rare Case Report and Review"],"prefix":"10.1002","volume":"13","author":[{"given":"Saurabh","family":"Karmakar","sequence":"first","affiliation":[{"name":"Department of Pulmonary Medicine All India Institute of Medical Sciences (AIIMS)  Patna 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