原发性气管肿瘤治疗进展

Progress in Treatments of Primary Tracheal Tumors

原发性气管肿瘤是呼吸系统的少见疾病,早期临床症状无特异性,易误诊为哮喘、慢性肺疾病等呼吸道疾病而延误诊断。其目前缺乏统一规范的治疗策略,以手术为主的综合治疗是目前的主要治疗模式,但对于手术切除范围、放疗范围、方式及剂量、化疗的作用、方案等方面仍缺乏共识。随着内镜技术的提高,内镜下治疗也成为治疗原发性气管肿瘤的局部治疗措施,但手术治疗仍是不容置疑的治愈手段。

The primary tracheal tumors are rare diseases in the respiratory system,since the early clinical symptoms are not specific; they are easily misdiagnosed as respiratory diseases such as asthma or chronic lung disease. Diagnosis is apt to be delayed. Due to the low incidence and the lack of treatment strategy of unified standards,the comprehensive treatment based on surgical resection is the main treatment modality at present,but there is lack of consensus about the surgical resection range, the irradiation range, modality or dose, and the chemotherapy status. With the improvement of endoscopic techniques, endoscopic therapy has becoming one of the local treatments of primary tracheal tumors ,but surgical resection is still the unquestionable curative treatment.