Primary tracheal tumours: 21 years of experience at Peking Union Medical College, Beijing, China.
March 16th, 2008 | by admin |Primary tracheal tumours: 21 years of experience at Peking Union Medical College, Beijing, China.
Objectives:To review our experience of the treatment of primary tracheal tumours.Study design:All medical notes of patients with primary tracheal tumours diagnosed between 1981 and 2002 were retrospectively analysed.Results:In this period, 80 patients were diagnosed with primary tracheal malignancy, 48 males and 32 females. The median age was 48 years. Sixty-nine patients had malignant tumours, most commonly adenoid cystic carcinoma (50.7 per cent) or squamous cell carcinoma (30.4 per cent). Fifty-five patients underwent surgery, 30 of whom also received radiotherapy. Twenty-five patients received only radiotherapy. The five-year survival rate for all malignant tumours was 30.5 per cent. The five-year survival rates for adenoid cystic carcinoma and squamous cell carcinoma were 40.2 and 24.6 per cent, respectively. Local recurrence and distant metastases developed in 21 patients (30.4 per cent).Conclusion:Primary tracheal tumours are rare and mainly malignant. Surgery is the most effective treatment method. Technical advances allow for safe resection of the tumour with a safe, tension-free anastomosis.
Zhengjaiang L, Pingzhang T, Dechao Z, Reddy-Kolanu G, Ilankovan V.
Departments of Head & Neck Surgery, Poole Hospitals NHS Trust, Poole, UK.