Ljiljana
Simonovska1 and Mirjana Trajcevska1
1Department of
Tuberculosis, Institute for Lung Diseases and Tuberculosis, Skopje,
Macedonia, The Former Yugoslav Republic of
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.
Read More :
Surgery
of huge mediastinal teratomas
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.
