原発性気管癌腫症例

DOI
  • 曽田 豊二
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University
  • 調 重昭
    Department of Otorhinolaryngology, Faculty of Medicine, Kyushu University

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タイトル別名
  • A Case of Adenocarcinoma Arising Primarily in the Trachea

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We report a case, male aged 49, of primary tracheal tumor who visited us with complaint of hemoptysis and wheezing lasting about a year and whom we diagnosed as such by high voltage X-ray examination and direct tracheobronchoscopy. Histological examination revealed that it was cylindromatous type of adenocarcinoma. Although there was paralysis of recurrent laryngeal nerve, there were neither dyspnea nor hoarseness and no tracheotomy was performed. After cobalt irradiation (4000 rad.) the tumor was extracted together with the tracheal wall from the cartilago cricoidea to the 7 th tracheal ring. Both ends were connected with soft resin for speech and breathing. The patient is now working like normal people with no sign of relapse.<BR>Recently we performed the same operations with 2 cases of secondary tracheal tumor. The patients recovered speech but one of them died owing to metastasis to the lungs.

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