Tsukayama Shoichi, Omura Kenji, Kanehira Eiji, Kawakami Kazuyuki, Oda Makoto, Ohtake Hiroshi, Nonomura Akitaka, Watanabe Go
Department of General and Cardiothoracic Surgery, Kanazawa University School of Medicine, 13-1 Takaramachi, Kanazawa 920-8641, Japan.
Surg Today. 2004;34(9):764-8. doi: 10.1007/s00595-004-2797-2.
Acinic cell carcinoma (ACC) is a very rare primary tracheal carcinoma. We report a case of primary ACC of the trachea, which represents, to the best of our knowledge, only the fifth such case ever documented. Pharyngolaryngoesophagectomy was necessary for complete resection because the tumor invaded the trachea widely, up to the cricoid cartilage and involving the cervical esophagus. Although invasion of the upper aerodigestive tract by neoplasma is rare, to achieve complete resection and an acceptable prognosis, even a tumor with low malignancy requires wide resection.
腺泡细胞癌(ACC)是一种非常罕见的原发性气管癌。我们报告一例原发性气管ACC病例,据我们所知,这是有记录以来的第五例此类病例。由于肿瘤广泛侵犯气管,向上至环状软骨并累及颈段食管,因此需要进行下咽食管切除术以实现完整切除。尽管肿瘤侵犯上消化道的情况很少见,但为了实现完整切除并获得可接受的预后,即使是低恶性肿瘤也需要广泛切除。