[唾液腺型原发性气管肿瘤的外科治疗]

[Surgery of primary tracheal tumours of the salivary gland type].

作者信息

Issoufou I, Belliraj L, Harmouchi H, Ammor F Z, Lakranbi M, Ouadnouni Y, Smahi M

机构信息

Service de chirurgie thoracique, CHU Hassan II, BP. 1893, Km 2.200, route de Sidi Harazem, 30000 Fès, Maroc.

出版信息

Rev Mal Respir. 2019 Apr;36(4):547-552. doi: 10.1016/j.rmr.2019.01.001. Epub 2019 Jan 26.

DOI:10.1016/j.rmr.2019.01.001

PMID:30691699

Abstract

INTRODUCTION

Primary tumours of the trachea are very rare and may develop from the tracheal salivary glands.

CASE REPORTS

We describe four patients operated on in our service between 2010 and 2017 of whom two had an adenocystic carcinoma, one a mucoepidermoid carcinoma and one a pleomorphic adenoma of the trachea. All were treated by resection and tracheal anastomosis with clear margins in three cases. The malignant cases received adjuvant treatment consisting of radiotherapy in one case and radiochemotherapy in the second. Immediate postoperative recovery was uncomplicated in all patients. One death followed the developement of post irradiation tracheal stenosis two years after surgery in a patient with an adenocystic carcinoma where the resection margins were invaded by tumour.

CONCLUSIONS

Resection and anastomosis of the trachea remains the best therapeutic option with a better prognosis when the resection is complete.

摘要

引言

气管原发性肿瘤非常罕见，可能起源于气管涎腺。

病例报告

我们描述了2010年至2017年间在我院接受手术的4例患者，其中2例为腺囊性癌，1例为黏液表皮样癌，1例为气管多形性腺瘤。所有患者均接受了手术切除及气管吻合术，3例切缘清晰。恶性病例中，1例接受了辅助放疗，另1例接受了放化疗。所有患者术后即刻恢复均顺利。1例腺囊性癌患者术后两年因放疗后气管狭窄死亡，其手术切缘被肿瘤侵犯。