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Subramaniam T, Lennon P, Kinsella J, et al. Laryngeal preservation in managing advanced tracheal adenoid cystic carcinoma. Case Rep Otolaryngol. 2015;2015:404586doi: 10.1155/2015/404586.
Subramaniam, T., Lennon, P., Kinsella, J., & O'Neill, J. P. (2015). Laryngeal preservation in managing advanced tracheal adenoid cystic carcinoma. Case reports in otolaryngology, 2015404586. https://doi.org/10.1155/2015/404586
Subramaniam, Thavakumar, et al. "Laryngeal preservation in managing advanced tracheal adenoid cystic carcinoma." Case reports in otolaryngology vol. 2015 (2015): 404586. doi: https://doi.org/10.1155/2015/404586
Subramaniam T, Lennon P, Kinsella J, O'Neill JP. Laryngeal preservation in managing advanced tracheal adenoid cystic carcinoma. Case Rep Otolaryngol. 2015;2015:404586. doi: 10.1155/2015/404586. Epub 2015 Mar 24. PMID: 25878915; PMCID: PMC4387972.
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Case Rep Otolaryngol. 2015;2015:404586. doi: 10.1155/2015/404586. Epub 2015 Mar 24.

Laryngeal preservation in managing advanced tracheal adenoid cystic carcinoma.

Case reports in otolaryngology

Thavakumar Subramaniam, Paul Lennon, John Kinsella, James Paul O'Neill

Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, St James Hospital, Dublin, Ireland.
  2. Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.

PMID: 25878915 PMCID: PMC4387972 DOI: 10.1155/2015/404586

Abstract

A 37-year-old male athlete was diagnosed with primary tracheal adenoid cystic carcinoma following investigation for dyspnea, wheeze, and eventual stridor. Preoperative bronchoscopy revealed a highly vascular tumor 4 cm distal to the cricoid with no gross disease extending to the carina. Imaging revealed circumferential tracheal irregularity immediately inferior to the cricoid, with no definite cricoid invasion. Locoregional extension of disease was noted invading the thyroid and abutment of the carotid approximately 180°. Intraoperative findings identified tracheal mucosal disease extending distal to the carina and proximally at the cricothyroid joints where bilateral functional recurrent nerves were preserved. A decision made to preserve the larynx given the inability to fully resect distal tracheal disease. A 5 cm sleeve resection of the trachea was made with a cricotracheal anastomosis following suprahyoidal muscle release and laryngeal drop-down. The patient was treated with adjuvant radiotherapy including platinum based chemotherapy in an effort to maximise local control. PET scanning three months after therapy revealed no FDG uptake locally or distally.

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