Tracheal Adenoid Cystic Carcinoma Presented with Chronic Asthma Diagnosed by Bronchial Washing Cytology (original) (raw)

Adenoid Cystic Carcinoma of Trachea: A Diagnostic and Therapeutic Challenge

Indian Journal of Otolaryngology and Head & Neck Surgery, 2015

Primary tumors of the trachea, which may be benign or malignant, account for fewer than 0.1 % of tumors. Adenoid cystic carcinoma is the second most common tracheal tumor. It poses a diagnostic and therapeutic challenge because of its slow growth and tendency for local recurrence and late metastasis. We present a case of adenoid cystic carcinoma of trachea which was misdiagnosed and mistreated as asthma initially because of its inherent indolent progression. It is important to be acquainted with this condition to prevent delay in diagnosis and provide timely treatment.

Adenoid Cystic Carcinoma of Trachea: Two Case Report

KYAMC Journal

Primary carcinoma of trachea also known as adenoid cystic carcinoma, adenocyst, malignant slyndroma. This tumor mostly occurs in the salivary gland (minor), lacrimal gland, trachea, paranasal sinuses and others. And also can occur in female reproductive tract, Bartholin gland and cervix. Carcinoma trachea is one of the very rare cases. Adenoid cystic carcinoma (ACC) of trachea is one of the very rare cases. This type of carcinoma is very slow growing cancer. Usually patients present with dyspnoea, asthma or bronchitis. After confirmed diagnosis 1st indication is surgery, if patient is not fit for surgery, can go to the laser ablation then Radio therapy. Our two cases of adenoid cystic carcinoma of trachea are, one is 30 years old female patient, her initial diagnosis was May, 2012 and another one 48 old male patient with history of smoking, his initial diagnosis was on July 2003. Both the patients are still alive. Now the female patient has bilateral pulmonary metastasis from Septem...

Tracheal Adenoid Cystic Carcinoma Mimicking Bronchial Asthma

Asian Cardiovascular and Thoracic Annals, 1999

Adenoid cystic carcinomas are rare tracheal tumors that can mimic bronchial asthma. We describe the characteristics of 2 patients with adenoid cystic carcinoma who presented with symptoms suggestive of bronchial asthma of 2 years duration. Biopsy specimens revealed that the lesions were adenoid cystic carcinoma of the trachea. Both patients underwent collar incision and median sternotomy, the tumors were resected, and the tracheas were reconstructed primarily. Postoperative radiotherapy was given. Their postoperative clinical courses were uneventful and no local recurrences were seen at the 1-year follow-up.

Adenoid cystic carcinoma of trachea presenting as a medical emergency- A case report

IP Archives of Cytology and Histopathology Research

Adenoid cystic carcinoma is a chief histologic type of malignancy of minor salivary glands. Primary malignant Tracheal neoplasms are rare <0.1%, with Adenoid Cystic Carcinoma being very rare. It arises from mucous secreting cells of salivary glands and upper respiratory tract. After Squamous Cell Carcinoma it is second most common Primary tracheal malignancy. Diagnosis can be done by Computed Tomography or Magnetic Resonance Imaging. But histopathology remains gold standard of diagnosis.

Tracheal adenoid cystic carcinoma masquerading asthma: A case report

2004

Background: Tracheal tumors are often misdiagnosed as asthma and are treated with inhaled steroids and bronchodilators without resolution. Case Presentation: Here, a patient with tracheal adenoid cystic carcinoma who had been previously diagnosed with difficult asthma was reported. The possibility of the presence of localized airway obstruction was raised when the flow-volume curve suggesting fixed airway obstruction, was obtained. Conclusion: The presenting case report emphasizes the fact that not all wheezes are asthma. It is critical to bear in mind that if a patient does not respond to appropriate anti-asthma therapy, localized obstructions should be ruled out before establishing the diagnosis of asthma.

Adenoid Cystic Carcinoma of the Upper Trachea: A Rare Neoplasm

Journal of Clinical Imaging Science, 2013

Primary malignant tracheal tumors are not common and adenoid cystic carcinoma (ACC) of trachea is rare. We report an extremely rare case of ACC of proximal trachea, which was diagnosed in a 42-year-old male who presents with 6-month history of dyspnea. Lateral skiagram of neck, computed tomography, and magnetic resonance imaging revealed a broad-based polypoidal soft tissue mass arising from posterior wall of the proximal trachea. Biopsy confirmed the diagnosis of ACC. The patient was treated by surgical resection followed by radiotherapy and is on regular follow-up. Follow-up at 18 months post-treatment showed no local recurrence or distant metastases. The literature on tracheal ACC is reviewed. Image findings are briefly discussed.

Adenoid Cystic Carcinoma of the Trachea

Journal of Bronchology, 1999

Objective: Primary tracheal tumors are rare, occurring in 0.2 per 100,000 persons per year. Adenoid cystic carcinoma (ACC) is the second most common histologic type of tracheal malignancy. Its clinical behavior is different from the other tracheal neoplasms and thus should be studied separately. Study De-signliUethods: Retrospective review of the medical records of six patients with tracheal ACC who were treated at University Hospitals of Cleveland between 1971 and 1996 and literature review. ResultslConclusion: Tracheal ACC is an indolent tumor that affects people at any age but has a peak incidence i n the fifth decade. There is a nearly equal male-to-female ratio. Almost half of tracheal ACCs occur in the proximal trachea, accounting for the most common presenting symptoms: dyspnea, cough, and hoarseness. Because of the hoarseness, patients are often referred to an otolaryngologist. Complete resection provides the best chance for increased survival. Neutron beam radiotherapy holds promise for adjuvant therapy.

Primary Adenoid Cystic Carcinoma of the Trachea: A Case Report of a Twelve Year Survivor

The Keio Journal of Medicine, 1995

Malignant tumors arising from trachea are not common. This paper presents an example of primary tracheal adenoid cystic carcinoma treated by surgical resection with good prognosis. A 46-year old woman presented with a short history of dyspnea. Five months before the onset of dyspnea, the patient had mild wheezing. She had no history of smoking. Physical examination suggested primary tracheal tumor. The patient underwent a V-shaped resection of 3.5cm of trachea followed by reconstruction with the trough method. Histological examination revealed adenoid cystic carcinoma. Adjuvant chemotherapy was indicated with 50mg of adriamycin postoperatively. The patient has done well for 12 years with no further treatment. The tumor was an adenoid cystic carcinoma that was slow-growing, infiltration of mucus membrane was few and growth fraction (mitotic index was less than 1%) was low. Those were considered the reason for good prognosis.

Adenoid cystic carcinoma of the trachea: case report and literature review

2020

Tracheal cancer is a rare neoplasm that accounts for only about 0.1% of all respiratory tract tumors. Cysticadenoid carcinoma (or cylindroma) represents the second histological type of tracheal tumors in order of frequency. These lesions are characterized by slow local growth, perineural invasion, and potential local and distant recurrence. Complete surgical resection offers the patient a better opportunity of prolonged survival or complete remission. The addition of photon- or electron-beam radiation seems to influence local control but does not affect survival. In this paper, we report a clinical case describing the characteristics and management of adenoid cystic carcinoma of the trachea in 59 years-old men.