Takahashi H, Kubota M, Nakata T, Nagai I, Kimura S, Noguchi S
Second Department of Surgery, Ehime University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Jun;38(6):1063-7.
A 33-year-old woman with adenoid cystic carcinoma of the trachea was treated by resection of the upper and mid-trachea, plus total laryngectomy, subtotal thyroidectomy, partial resection of the cervical esophageal muscle layer and mediastinal tracheostomy. This tumor invaded directly into the thyroid gland, the larynx, the recurrent laryngeal nerve and the cervical esophagus. Three years after the operation, metastases developed in the right lung (S10, S2) and partial resection of the lung was performed. This patient is now free from disease. Aggressive surgical resection is important for the improvement of survival in this condition, although this tumor shows low grade malignancy and is slowly growing.
一名33岁的气管腺样囊性癌女性患者接受了气管上段和中段切除、全喉切除术、甲状腺次全切除术、颈段食管肌层部分切除术及纵隔气管造口术。该肿瘤直接侵犯甲状腺、喉、喉返神经和颈段食管。术后三年，右肺（S10、S2）出现转移，遂行肺部分切除术。该患者目前无病生存。尽管此肿瘤恶性程度低、生长缓慢，但积极的手术切除对于改善这种情况下的生存率很重要。
