Utsumi Nobuko, Inoue Masafumi, Miura Kosei
Department of Radiation Therapy, JCHO (Japan Community Health Care Organization) Tokyo Shinjuku Medical Center, Tokyo, JPN.
Department of Diagnostic Pathology, JCHO (Japan Community Health Care Organization) Tokyo Shinjuku Medical Center, Tokyo, JPN.
Cureus. 2023 Mar 27;15(3):e36743. doi: 10.7759/cureus.36743. eCollection 2023 Mar.
Primary adenoid cystic carcinoma (ACC) of the upper anterior mediastinum is rarely encountered in clinical practice, and no standard treatment has been established. We performed palliative radiotherapy to improve airway narrowing in a patient with primary ACC of the mediastinum who presented with respiratory distress as their main complaint. As a result of radiotherapy, the ACC was reduced in size, the narrowed airway was opened due to compression by the ACC, and the patient's general condition improved. We present the results of this case with a review of the relevant literature.
前上纵隔原发性腺样囊性癌（ACC）在临床实践中很少见，目前尚未确立标准治疗方案。我们对一名以呼吸窘迫为主要症状的纵隔原发性ACC患者进行了姑息性放疗，以改善气道狭窄。放疗后，ACC体积缩小，因ACC压迫导致的狭窄气道得以开通，患者的一般状况有所改善。我们报告该病例的结果并复习相关文献。
