外科诊治原发性气管腺样囊性癌11例

Surgical treatment of primary tracheal adenoid cystic carcinoma: report of 11 cases

目的 探讨原发性气管腺样囊性癌的临床特征、诊断及治疗方法。方法 1 1例原发性气管腺样囊性癌患者 ,年龄 30～ 4 9岁。病灶位于气管上 1 / 3段 7例 ,其中 2例侵及喉 ,1例侵及环状软骨 ;气管中、下段各 2例。 1 1例患者均采取手术治疗 ,行气管袖状切除端端吻合术 5例 ,其中环状软骨部分切除、气管环状软骨端端吻合 1例 ;气管肿瘤局部刮除术 4例 ;颈段气管及全喉切除气管造口术 2例。结果 1 1例患者无手术死亡 ,术后均痊愈出院 ,远期并发症有气管造口狭窄 1例 ,复发 1例。结论 对原发性气管腺样囊性癌患者应力争早期诊断 。

Objective To evaluate the clinical characteristics, diagnosis and treatment of primary tracheal adenoid cystic carcinoma. Methods The data of 11 patients with primary tracheal adenoid cystic carcinoma were reviewed. The age of the patients ranged from 30 to 49 years. The tumor situated at the upper trachea in 7 patients, including 2 invading the larynx and 1 invading the cricoid cartilage; at the middle trachea in 2, and at the lower trachea in 2. The surgical procedures included tracheal sleeve resection in 5 patients, with cricoid partial resection in 1; tracheal tumor curettement in 4; cervical trachea and larynx resection and tracheostomy in 2. Results All patients had an uneventful recovery. Stoma constriction occurred in 1 patients, and relapse in 1. There was no perioperative death. Conclusion For patients with primary tracheal adenoid cystic carcinoma, early diagnosis and surgical treatment are recommended.