Gaissert Henning A
Division of Thoracic Surgery, Massachusetts General Hospital, Blake 1570, 55 Fruit Street, Boston, MA 02114, USA.
Chest Surg Clin N Am. 2003 May;13(2):247-56. doi: 10.1016/s1052-3359(03)00019-x.
Primary tracheal tumors often present with locally advanced tumors. A majority of patients can safely undergo tracheal, laryngotracheal, or carinal resection with low perioperative risk. Airway interventions at the time of diagnosis should be selected carefully to avoid a compromise of curative treatment. Precise judgment is required to determine resectability. The proximity of intrathoracic organs creates anatomical limits to en bloc resection and necessitates adjuvant radiotherapy in malignant tumors. Early referral for consideration of surgical resection might offer the best opportunity for improving the overall prognosis of tracheal tumors.
原发性气管肿瘤常表现为局部进展性肿瘤。大多数患者能够安全地接受气管、喉气管或隆突切除，围手术期风险较低。诊断时的气道干预应谨慎选择，以免影响根治性治疗。确定肿瘤的可切除性需要精确判断。胸内器官的毗邻关系给整块切除带来了解剖学限制，恶性肿瘤需要辅助放疗。早期转诊考虑手术切除可能为改善气管肿瘤的总体预后提供最佳机会。
