Efficacy of Surgical Resection in Tracheal Tumors
Objective: Tracheal lesions represent only 2% of all tumors of respiratory system. Most frequent malignant tumors of trachea are squamous cell carcinoma and adenoid cystic carcinoma. Benign tumors of trachea are rarer than malignant lesions. With early diagnosis and proper treatment, long term survival is promising.
Methods and Results: Between January 2004 and January 2014, 13 patients went thorough sleeve resection who has been diagnosed tracheal tumor, analyzed retrospectively. 5 female and 8 male were included in this study and the mean age is 51.4 (31-66) years. Squamous cell carcinoma is the most common pathological type (40%) followed by adenoid cystic carcinoma (20%). In three cases, other benign tracheal tumors were found (leiomyom, papilloma, glomus tumor). Upper 1/3 of the trachea is the most frequent placement for lesions (40%) and cervical incision and tracheal sleeve resection and anastomosis was used most of the cases as surgical approach. In three patients (23%) we encountered complications and the mortality occurred in one (7%). During postoperative follow-up, survival for benign tracheal tumors was 77.06 (35.4-103.1) months but survival rate for malignant tracheal tumors was 54.79 (1-108.3) months. Also during follow-up no restenosis or tumor recurrence was found.
Conclusion: Complete excision is the most accepted technique for the treatment of the tracheal tumors and sleeve resection can be applied to properly chosen cases with low mortality and mobidity rates.
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