Grillo H C, Mathisen D J, Wain J C
General Thoracic Surgical Unit, Massachusetts General Hospital.
Oncology (Williston Park). 1992 Feb;6(2):61-7; discussion 68, 70, 72.
Experience in the management of primary tracheal tumors remains small because of their rarity. Adenoidcystic carcinoma (40%) and squamous cell carcinoma off%) are the most common histologies. They present with signs of airway obstruction or hemoptysis and are delineated by bronchoscopy, tomography, and CT scan. Two thirds of all tracheal tumors are resectable, followed by airway reconstruction. Postoperative irradiation appears to be indicated for malignant tumors. Surgical mortality in 147 resections was 5%, with most deaths following carinal reconstruction. Twenty of 41 patients with squamous cell carcinomas who underwent resection are alive without disease (some for more than 25 years) and 39 of 52 with adenoidcystic carcinoma (some for as long as 19 years).
由于原发性气管肿瘤罕见，其管理经验仍然有限。腺样囊性癌（40%）和鳞状细胞癌（占比未提及）是最常见的组织学类型。它们表现为气道阻塞或咯血症状，通过支气管镜检查、断层扫描和CT扫描进行诊断。所有气管肿瘤中有三分之二可切除，随后进行气道重建。恶性肿瘤术后似乎需要进行放疗。147例切除术的手术死亡率为5%，大多数死亡发生在隆突重建之后。41例接受切除术的鳞状细胞癌患者中有20例无病存活（有些已超过25年），52例腺样囊性癌患者中有39例（有些长达19年）。
