Swierczyńska M, Bochenek G, Nizankowska-Mogielnicka E, Korzeniowski S, Sas-Korczyńska B, Papla B, Olechnowicz H, Grochowski Z
Klinika Pulmonologii, II Katedra Chorób Wewnetrznych CMUJ w Krakowie.
Pneumonol Alergol Pol. 2001;69(5-6):295-9.
A case of an adenoid cystic carcinoma of trachea is presented. A 30-year-old non-smoking woman with strong inspiratory dyspnea at rest was admitted to the Dept. of Pulmonary Diseases. At auscultation a respiratory murmur was more silent at right lung and stridor over trachea was heard. CT scan revealed tumor at the bifurcation of the trachea. Bronchoscopy was made and biopsy established the diagnosis: adenoid cystic carcinoma. The tumor was partially removed with rigid bronchoscope and radiotherapy was started. Clinical improvement occurred; in control CT scan tumor vanished. The trachea cancers are rare. Symptoms often mimic asthma or chronic bronchitis. Thus in every patient with chronic cough and dyspnea bronchoscopy should be made. A treatment of choice is primary resection and postoperative radiotherapy.
本文报告一例气管腺样囊性癌病例。一名30岁非吸烟女性,静息时出现严重吸气性呼吸困难,入住肺病科。听诊时右肺呼吸音减弱,可闻及气管哮吼音。CT扫描显示气管分叉处有肿瘤。进行了支气管镜检查,活检确诊为腺样囊性癌。用硬支气管镜部分切除肿瘤,并开始放疗。临床症状改善;复查CT扫描时肿瘤消失。气管癌较为罕见。症状常类似哮喘或慢性支气管炎。因此,对于每一位慢性咳嗽和呼吸困难患者都应进行支气管镜检查。首选治疗方法是手术切除并术后放疗。