Adenoid cystic carcinoma of the lower trachea treated by resection of 11 of 18 rings of the total length: report of a case

作者: Hiroaki Nomori , Masaru Abe , Hiroshi Sugimura , Akihiko Takeshi

DOI: 10.1007/S11748-014-0469-8

关键词: SurgeryCardiac surgeryRadiation therapyCardiothoracic surgeryAnastomosisMedicineResectionSurgical oncologyAdenoid cystic carcinomaLeft main bronchusPulmonary and Respiratory MedicineCardiology and Cardiovascular MedicineGeneral Medicine

摘要: We report the case of a 63-year-old woman with adenoid cystic carcinoma lower trachea treated by resection 11 18 cartilaginous rings (61 %) total length. The little remaining membranous portion carina was sewn up to create margin for anastomosis. anastomotic sites could be approximated mobilization cervical and left main bronchus, pulling across traction sutures, anteflexion neck. patient’s postoperative course uneventful without any complications associated Because both proximal distal margins showed microscopic tumors, radiation therapy performed 50 Gy 2 months after surgery. patient has good social life recurrence 20 months

参考文章(6)
Hiroaki Nomori, Shizuka Kaseda, Kouichi Kobayashi, Tsuneo Ishihara, Noboru Yanai, Chikao Torikata, Adenoid cystic carcinoma of the trachea and main-stem bronchus. A clinical, histopathologic, and immunohistochemical study. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 96, pp. 271- 277 ,(1988) , 10.1016/S0022-5223(19)35270-5
Donna E. Maziak, Thomas R.J. Todd, Shafique H. Keshavjee, Timothy L. Winton, Peter Van Nostrand, F.Griffith Pearson, Adenoid cystic carcinoma of the airway: Thirty-two-year experience The Journal of Thoracic and Cardiovascular Surgery. ,vol. 112, pp. 1522- 1532 ,(1996) , 10.1016/S0022-5223(96)70011-9
Lara P. Bonner Millar, Diana Stripp, Joel D. Cooper, Stefan Both, Paul James, Ramesh Rengan, Definitive Radiotherapy for Unresected Adenoid Cystic Carcinoma of the Trachea Chest. ,vol. 141, pp. 1323- 1326 ,(2012) , 10.1378/CHEST.11-0925
Hermes C. Grillo, Ellen F. Dignan, Tsuyoshi Miura, J. Gordon Scannell, EXTENSIVE RESECTION AND RECONSTRUCTION OF MEDIASTINAL TRACHEA WITHOUT PROSTHESIS OR GRAFT: AN ANATOMICAL STUDY IN MAN. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 48, pp. 741- 749 ,(1964) , 10.1016/S0022-5223(19)33357-4
F.G. Pearson, T.R.J. Todd, J.D. Cooper, Experience with primary neoplasms of the trachea and carina The Journal of Thoracic and Cardiovascular Surgery. ,vol. 88, pp. 511- 518 ,(1984) , 10.1016/S0022-5223(19)38285-6
J Birjukov, L Goudovsky, N Koroleva, M I Perelman, Primary tracheal tumors. Seminars in Thoracic and Cardiovascular Surgery. ,vol. 8, pp. 400- 402 ,(1996)