Adenoid cystic carcinoma (cylindroma) of the trachea:Case report with 9-year follow-up

Abstract

A case of adenoid systic carcinoma (cylindroma) of the trachea is reported. The patient was treated by radiation and survived 9 years after diagnosis, dying eventually due to mediastinal involvement. The literature of the clinical and the pathologic features of this tracheal neoplasm is discussed, and the observed histologic polymorphism and the nonbenign nature of the lesion are stressed. For a better long‐term prognosis, wide tracheal resection and reconstruction is suggested as the method of treatment.

Repeated partial endoscopic resections as treatment for two patients with inoperable tracheal tumours

“…This is an important reason for the occasionally discouraging results of resection. Results of irradiation treatment generally have not been very favourable in cases of adenoid cystic carcinoma (Zunker et al, 1969). Surgical treatment was impossible in both our patients because of the size of the tumours.…”

“…They mention a reported incidence of regional lymph node involvement ranging from 20 to 30%. The histological picture may progress to one showing much less differentiation (Reid, 1952;Zunker, Moore, Baker and Lattes, 1969).…”

A clinical sign of adenocystic tumour of the trachea

“…Clark, Clagett, and McDonald (1953) described 15 patients and pointed out that surgery as against irradiation gave better results in the overall treatment of these patients. Zunker, Moore, Baker, and Lattes (1969) as well as Strobel (1966) attribute to irradiation a palliative value with temporary regression of the tumour.…”