Kenan Can Ceylan1, Erkan Kulduk2,
Seyda Ors Kaya1 and Huseyin Katilmis2
Surgery, Dr Suat Seren Chest Disease and Thoracic Surgery Education and
Research Hospital, Izmir, Turkey, 2Otolaryngology, Ataturk Training and
Research Hospital, Izmir, Turkey
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.
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.
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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