A Case of Adenoid Cystic Carcinoma of the Carina Treated Surgically and Nonsurgically Over 23 years.

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A 61-year-old woman was admitted because of bloody sputum. She has been treated for adenoid cystic carcinoma of the carina with irradiation (61.2Gy) and chemotherapy (bleomycin, MMC, and 5-FU) 16 years previously, and had been followed up after complete remission was obtained. Recurrence of the carcinoma at the carina was detected by bronchoscopy. At first, endoscopic polypectomy with diathermy probe was carried out. Two months later, carinal resection and reconstruction was performed. Three years postoperatively, tumor recurrence at the anastomotic site was detected by bronchoscopy. Oblique irradiation (60Gy) was performed and the tumor disappeared again, but multiple lung metastases became evident 2 years later. Control is still good at the anastomotic site, and she remains in relatively good condition at 23 years after the initial presentation.<BR>We concluded that the series of multiple therapeutic procedures to this slow growing but malignant tumor contributed to her long survival.
特定非営利活動法人日本肺癌学会の論文