Belloumi N, Baili H, Abdennadher M, Habbouria C, Bachouch I, Bouassida I, Zairi S, Chermiti Ben Abdallah F, Fenniche S, Zribi H, Marghli A
Pulmonology Department Pavilion 4, Abderrahmen Mami Hospital, Tunisia.
Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia.
Case Rep Surg. 2021 Jul 2;2021:5529803. doi: 10.1155/2021/5529803. eCollection 2021.
Pulmonary adenoid cystic carcinoma (PACC) is an exceedingly rare tumor of low-grade malignancy. Diagnosis is often late, so the tumoral process may be huge at presentation. Surgical resection could be challenging, and the recurrence rate would be greater. We report, hereby, a case of proximal PACC with involvement of the carina in a young male adult, without respiratory distress. Surgical resection was performed through a left pneumonectomy followed by a complex trachea-bronchoplastic procedure. During the operative time, the assisted ventilatory mode was carefully chosen. No adjuvant treatment was needed. Our patient is still under clinicoradiological surveillance and remains disease-free.
肺腺样囊性癌（PACC）是一种极为罕见的低度恶性肿瘤。诊断往往较晚，因此肿瘤在初诊时可能已很大。手术切除颇具挑战性，且复发率较高。在此，我们报告一例年轻男性近端PACC累及隆突的病例，患者无呼吸窘迫症状。通过左全肺切除及复杂的气管支气管成形术进行手术切除。术中仔细选择辅助通气模式。无需辅助治疗。我们的患者仍在接受临床放射学监测，目前无疾病复发。
