The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
A resected case of primary tracheal adenoidcystic carcinoma after stenting and radiotherapy
Kenji HazamaAkinori AkashiYoshito MaehataKenji Nakamura
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2001 Volume 15 Issue 2 Pages 115-118

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Abstract

A 64-year-old woman was admitted to our hospital due to dyspnea on effort and wheezing. Bronchoscopy revealed an endobroncheal tumor arising from the membranous portion. Because the tumor was located near the vacal cords, laryngotracheal resection was considered to be necessary. Preoperative radiotherapy was performed in order to reduce the size of the tumor and to preserve her voice, but the tracheal stenosis was so severe that laser ablation and placement of Dumon stent were performed before radiotherapy. A percutaneous tracheostomy kit and percutaneous cardiopulmonary support device were prepared during stent placement due to concerns about the trachea becoming completely abstructed. The effect of the radiotherapy was evaluated as partial respone (PR). Tracheal resection and primary anastomosis were performed after the removal of the stent. The patient was discharged from hospital 6 weeks after the operation without major complications. She is alive without recurrence 16 months after the operation.

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