Korean J Otolaryngol-Head Neck Surg.  1997 Jan;40(1):17-21.

Primary Adenoid Cystic Carcinoma of the Trachea

• Kim KH
• Sung MW
• Kang JK
• Ahn SH
• Han MH

Abstract

Primary adenoid cystic carcinoma of the trachea is rare and its diagnosis and management have still some controversies. In patients with dyspnea, tracheal mass is not usually considered and differential diagnosis of primary tracheal tumor should be ruled out. From 1989 to 1995, eight cases of adenoid cystic carcinoma of the trachea were diagnosed and managed in our clinics. Among these cases, differential diagnosis with thyroid carcinoma was difficult in two cases and in one case, the primary diagnosis was bronchial asthma. Most of patients underwent tracheal resection and end to end anastomosis or total laryngectomy with postoperative radiation therapy. The overall result of these series showed mean disease free survival period of 39 months and recurrence rate of 50%. The purpose of this article is to describe the clinical and radiological findings of adenoid cystic carcinoma of the trachea and give helps in differential diagnosis of tracheal mass.

Keyword

Adenoid cystic carcinoma; Tracheal tumor; Computed tomography; Differential diagnosis

MeSH Terms

Adenoids*
Asthma
Carcinoma, Adenoid Cystic*
Diagnosis
Diagnosis, Differential
Disease-Free Survival
Dyspnea
Humans
Laryngectomy
Recurrence
Thyroid Neoplasms
Trachea*