両側後筋麻痺を伴つた原発性気管癌の1例

抄録

A farmer, aged 55, visited authors' ambulatorium complaining of dyspnea due to bilateral abductor paralysis of the larynx. The patient was tracheotomized and inferior tracheobronc- hoscopy was performed. There was a extensive shallow ulcer at the tracheal wall and it was covered by dirty dark brown membrane. He died 3 days after the admissionon on account of dyspnea.
Autopsy showed that it was primary cancer of the trachea infiltrating into the anterior and bilateral tracheal wall and there compressed the recurrent nerves causing the bilateral abductor paralysis. Moreover metastasis into the cervical lymphatic nodes, mediastinum, lungs, esophagus and the liver was ob'served. Histologically it was carcinoma simplex.