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Scholars Journal of Medical Case Reports | Volume-3 | Issue-02
Adenoid Cystic Carcinoma of Trachea Treated with Radical Radiotherapy: A Case Report
Abhinav Dewan, Ajay Kumar Dewan, Surender Sharma, Anjali Kakria, Surender Dabas, Anila Sharma, Rupal Sinha
Published: Feb. 27, 2015 |
113
93
DOI: 10.36347/sjmcr.2015.v03i02.019
Pages: 127-129
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Abstract
Adenoid cystic carcinoma of trachea is rare and is associated with prolonged survival and better prognosis. It
is often misdiagnosed as chronic bronchitis or asthma. The ideal treatment option is surgical resection with tracheal
reconstruction followed by adjuvant radiotherapy. Post operative radiotherapy may decrease the risk of local recurrence,
but has no effect on the survival. In this report, we present a case of a patient with adenoid cystic carcinoma of trachea
treated only by radical radiotherapy by intensity modulated radiotherapy technique. Initial coring followed by radical
radiotherapy may be considered in unresectable cases or in those patients who refuse surgery. Radical radiotherapy may
alone treat adenoid cystic carcinoma of trachea without any surgical morbidity, indicating that adenoid cystic carcinoma
may be relatively and not absolutely resistant to radiation. There is no role of chemotherapy in adenoid cystic carcinoma.