Abstract
Actuality. Tracheal cancer is a rare disease which amounts up to 0.2% of the total number of cancers. Currently, there is an increase in the number of patients with impaired tracheal patency. Endoscopic procedures are most commonly used to restore and maintain the tracheal lumen. The key treatment for primary cancer is a surgical one; however, due to late diagnostics, the tumor is often inoperable. Chemotherapy for tracheal cancer is ineffective, and practically is not used. At present, endoscopic tracheal recanalization with laser vaporization is a method of choice in patients with inoperable tracheal tumors.Objective: to improve outcomes in patients with inoperable primary tracheal cancer using Nd-YAG laser either as the fi rst component of staged treatment strategy, or as the fi nal volume treatment.Methods. Patient K., 75 years old, was admitted to the hospital with complaints of dyspnea at rest, weakness and hemoptysis. As anamnesis showed, the patient had noticed a deterioration in her breathing during the last 6 months. CT scan revealed a volumetric formation (tumor) of the cervicothoracic trachea (8.0 cm above the bifurcation) with 90% stenosing in the lumen. When performing tracheobronchoscopy in the cervicothoracic trachea, a broad-based lumpy tumor, 5 cm long, stenosing the tracheal lumen by 2/3 was found on the posterior wall. Morphological examination of biopsy material revealed adenocystic carcinoma.Results. The performed endoscopic examination with neodymium YAG laser recanalization demonstrated the advantage of this technique in patients with inoperable tracheal tumors.Conclusion. Endoscopic recanalization of the trachea with neodymium YAG laser has been proven to be effective in patients with inoperable tracheal cancer. It improves their quality of life as well.
Highlights
На ранней стадии клинические проявления рака трахеи (одышка, затрудненное дыхание, непродуктивный кашель) сходны с клиническими проявлениями таких заболеваний, как бронхиальная астма, дистония трахеи, хронический бронхит [6]
На ранней стадии клинические проявления рака трахеи сходны с клиническими проявлениями таких заболеваний, как бронхиальная астма, дистония трахеи, хронический бронхит [6]
Joshi N.P., Haresh K.P., Das P., Kumar R., Prabhakar R., Sharma D.N., et al Unresectable basaloid squamous cell carcinoma of the trachea treated with concurrent chemoradiotherapy: A case report with review of literature
Summary
На ранней стадии клинические проявления рака трахеи (одышка, затрудненное дыхание, непродуктивный кашель) сходны с клиническими проявлениями таких заболеваний, как бронхиальная астма, дистония трахеи, хронический бронхит [6]. Для восстановления и поддержания просвета трахеи наиболее часто применяются различные эндоскопические вмешательства [1]. Первичные опухоли исходят из стенки трахеи, при этом чаще поражается мембранозная часть стенки, богатая слизистыми железами, а вторичные являются результатом прорастания трахеи опухолями других органов (гортань, пищевод, щитовидная железа). По международной гистологической классификации типичными злокачественными опухолями трахеи являются плоскоклеточный (50 %) и аденоидный кистозный рак, который составляет от 11 до 45,8 % от всех опухолей трахеи и бронхов [4].
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
