Laryngeal Preservation in Managing Advanced Tracheal Adenoid Cystic Carcinoma
Joint Authors
Subramaniam, Thavakumar
Lennon, Paul
Kinsella, John
O’Neill, James Paul
Source
Case Reports in Otolaryngology
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-03-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 37-year-old male athlete was diagnosed with primary tracheal adenoid cystic carcinoma following investigation for dyspnea, wheeze, and eventual stridor.
Preoperative bronchoscopy revealed a highly vascular tumor 4 cm distal to the cricoid with no gross disease extending to the carina.
Imaging revealed circumferential tracheal irregularity immediately inferior to the cricoid, with no definite cricoid invasion.
Locoregional extension of disease was noted invading the thyroid and abutment of the carotid approximately 180°.
Intraoperative findings identified tracheal mucosal disease extending distal to the carina and proximally at the cricothyroid joints where bilateral functional recurrent nerves were preserved.
A decision made to preserve the larynx given the inability to fully resect distal tracheal disease.
A 5 cm sleeve resection of the trachea was made with a cricotracheal anastomosis following suprahyoidal muscle release and laryngeal drop-down.
The patient was treated with adjuvant radiotherapy including platinum based chemotherapy in an effort to maximise local control.
PET scanning three months after therapy revealed no FDG uptake locally or distally.
American Psychological Association (APA)
Subramaniam, Thavakumar& Lennon, Paul& Kinsella, John& O’Neill, James Paul. 2015. Laryngeal Preservation in Managing Advanced Tracheal Adenoid Cystic Carcinoma. Case Reports in Otolaryngology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059621
Modern Language Association (MLA)
Subramaniam, Thavakumar…[et al.]. Laryngeal Preservation in Managing Advanced Tracheal Adenoid Cystic Carcinoma. Case Reports in Otolaryngology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059621
American Medical Association (AMA)
Subramaniam, Thavakumar& Lennon, Paul& Kinsella, John& O’Neill, James Paul. Laryngeal Preservation in Managing Advanced Tracheal Adenoid Cystic Carcinoma. Case Reports in Otolaryngology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059621
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059621