2014, Number 2
<< Back Next >>
Neumol Cir Torax 2014; 73 (2)
Surgical treatment of adenoid cystic carcinoma of the trachea. Report of a case and review of the literature
Iñiguez-García MA, Guzmán-de-Alba E, Luna-Rivero C, Salazar-Otaola GF, Núñez-Bustos CM, Vázquez-Minero JC
Language: Spanish
References: 21
Page: 122-127
PDF size: 286.54 Kb.
ABSTRACT
Introduction: Primary malignant tumors of the trachea are rare, but they represent 90% of all tumors of the trachea. The adenoid cystic carcinoma is the second most frequent hystologic type of tumor growing in the trachea with aproximately 10 to 15% of all cases. Symptoms are unspecific and the most frequent are cough, hoarseness, dyspnea, wheezzing and stridor. Bronchoscopy is the study of choice to obtain tissue for histopathologic study. Surgery is the treatment of choice when possible.
Methods: We present the case of a 59 years old female with an adenoid cystic carcinoma of the middle third of the trachea, treated with surgical resection, obtaining a complete resection, with no adyuvant therapy, and with 14 months follow-up without recurrence.
Discussion and conclusions: Treatment of adenoid cystic carcinoma should be multidisciplinary. In our patient had forecast a rate of 5-year survival of 91% because it was a localized disease. We consider that patients with any type of tracheal tumor should be referred to a specialized center with experience in the treatment of tracheal pathology.
REFERENCES
Manninen MP, Antila PJ, Pukander JS, Karma PH. Occurrence of tracheal carcinoma in Finland. Acta Otolaryngol 1991;111(6):1162-1169.
Licht PB, Friis S, Pettersson G. Tracheal cancer in Denmark: a nationwide study. Eur J Cardiothorac Surg 2001;19(3):339-345.
Honings J, van Dijck JA, Verhagen AF, van der Heijden HF, Marres HA. Incidence and treatment of tracheal cancer: a nationwide study in the Netherlands. Ann Surg Oncol 2007;14(2):968-976.
Urdaneta Al, Yu JB, Wilson LD. Population based cancer registry analysis of primary tracheal carcinoma. Am J Clin Oncol 2011;34(1):32-37.
Perelman MJ, Koroleva N. Surgery of the trachea. World J Surg 1974;18:16-25.
Rivas de Andrés JJ, de la Torre Bravos MM, Blanco Gonzalez S, Córdoba Peláez M, Miguélez Vara C, Sobrido González F. Tumores traqueales poco frecuentes: carcinoma adenoideo-quístico y adenoma de glándulas mucosas. Cir Esp 2000;67(4):391-393.
Maziak DE, Todd TR, Keshavjee SH, Winton TL, Van Nostrand P, Pearson FG. Adenoid cystic carcinoma of the airway: thirty-two-year experience. J Thorac Cardiovasc Surg 1996;112(6):1522-1531.
Travis WD, Brambilla E, Muller-Hermelink HK, Harris CC. Of the lung, pleura, thymoma, and heart. In: World Health Organization Classification of Tumors: Pathology and Genetics, IARC Presee, Lyon, France 2004. Access date: 2013 November 11. Available from: http://www.iarc.fr/en/publications/pdfs-online/pat-gen/bb10/BB10.pdf
Scherl S, Alon EE, Karle WE, Clain JB, Khorsandi A, Urken ML. Rare tracheal tumors and lesions initially diagnosed as isolated differentiated thyroid cancers. Thyroid 2013;23(1):79-83.
Bhattacharyya N. Contemporary staging and prognosis for primary tracheal malignancies: a population-based analysis. Otolaryngol Head Neck Surg 2004;131(5):639-642.
Honings J, Gaissert HA, Verhagen AF, et al. Undertreatment of tracheal carcinoma: multidisciplinary audit of epidemiologic data. Ann Surg Oncol 2009;16(2):246-253.
Grillo HC, Mathisen DJ. Primary tracheal tumors: treatment and results. Ann Thorac Surg 1990;49(1):69-77.
Regnard JF, Fourquier P, Levasseur P. Result and prognostic factors in resections of primary tracheal tumors: a multicenter retrospective study. The French Society of Cardiovarcular Surgery. J Thorac Cardiovasc Surg 1996;111(4):808-813.
Gaissert HA, Grillo HC, Shadmehr MB, et al. Long-term survival after resection of primary adenoid cystic and squamous cell carcinoma of the trachea and carina. Ann Thorac Surg 2004;78(6):1889-1896.
Misiukiewicz KJ, Camille N, Tishler R, Haddad R, Limaye S, Posner M. Organ preservation for adenoid cystic carcinoma of the larynx. Oncologist 2013;18(5):579-583.
Cavaliere S, Venuta F, Foccoli P, Toninelli C, La Face B. Endoscopic treatment of malignant airway obstructions in 2,008 patients. Chest 1996;110(6):1536-1542.
Colt HG, Harrell JH. Therapeutic rigid bronchoscopy allows level of care changes in patients with acute respiratory failure from central airway obstruction. Chest 1997;112(1):202-206.
Jeon K, Kim H, Yu CM, et al. Rigid bronchoscopic intervention in patients with respiratory failure caused by malignant central airway obstruction. J Thorac Oncol 2006;1(4):319-323.
Webb BD, Walsh GL, Roberts DB, Sturgis EM. Primary tracheal malignant neoplasms: the University of Texas MD Anderson Cancer Center experience. J Am Coll Surg 2006;202(2):237-246.
Suzuki T. What is the best management strategy for adenoid cystic carcinoma of the trachea? Ann Thorac Cardiovasc Surg 2011;17(6):535-538.
Pearson FG, Tood TR, Cooper JD. Experience with primary neoplasms of the trachea and carina. J Thorac Cardiovasc Surg 1984;88(4):511-518.