Abstract
Although protruding type into the bronchial lumen with wide basis is by far the most common in adenoid cystic carcinoma, this report presented a case of extensive infiltration along the bronchial wall.
A 39-year-old man was admitted with cough, hemosputum and swelling of the left hilum on the chest X-ray film. Bronchofiberscopic examination revealed marked stenosis on the left main bronchus, and extensive and long infiltration along the bronchial wall toward the left superior bronchus and the right main bronchus. The patient was treated with 60Co 4920 rads irradiation combined with chemotherapy using FMC (5-Fu, Mitomycin C and Cytosin arabinoside) and immunotherapy using Picibanil and BCG-CWS, and the tumor shadow was reduced and bronchofiberscopy revealed stenosis disappeared. This patient is well without any signs of recurrence one year after therapy
