A case of adenoid cystic carcinoma located in the lower part of the trachea treated by sleeve resection through median sternotamy

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  • 胸骨正中切開アプローチで気管下部に位置する気管癌に対して管状切除術を施行した1例

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Abstract

<p>A tracheal tumor can be resected through a median sternotamy or a right thoracotomy. Tracheal cancer located in the lower part of the trachea was resected through a median sternotamy, which provided good exposure. A 43-year-old woman was referred to our hospital due to wheezing. Chest computed tomography (CT) revealed a 16-mm nodular mass originating from the left side of the trachea with a 20-mm nodular mass connected outside the trachea near the aortic arch. Bronchofiberscopy showed a tracheal tumor, which occluded 80% of the tracheal lumen. Biopsy showed adenoid cystic carcinoma with cribriform features, which was reported to be more invasive. She underwent circumferential resection and end-to-end anastomosis of the trachea through a median sternotomy. Pathological diagnosis during surgery was not performed. Because of the positive margin, she received adjuvant radiation therapy 2 months after surgery, and has survived for 2 years without any signs of recurrence.</p>

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