ADENOID CYSTİC CARCINOMA TREATED WITH ELECTROCAUTERY– 5-YEAR SURVIVAL
Journal
Македонски медицински преглед = Macedonian Medical Review
Date Issued
2020
Author(s)
Arben Rexhepi
Dejan Todevski
Aleksandra Tatabitovska
Tome Stefanovski
Sasho Banev
Michael Simoff
Abstract
Adenoid cystic carcinoma (ACC) is an uncommon neoplasm
which arises from the major and minor salivary
glands of the head and neck. Rarely, it can develop
from secretory glands originating in the trachea, breast,
lacrimal glands or other exocrine glands. We present a
case of a fifty-years-old female patient with a polypoid
adenoid ACC, growing from the middle of the left
main bronchus causing obstruction of the bronchial
lumen. Complete resection of the polypoid mass was
accomplished using an electrocautery snare through
the flexible bronchoscope, cauterizing the stalk in one
attempt. The tumor was extracted in the manner of foreign
body extraction, attaining complete recanalization
and providing patency of the visible bronchial tree
with no immediate or late complications. The followup
bronchoscopy after 6 months found no signs of persistent
or recurrent disease. The patient was followed
at 6 and 12 months and every year for 5 years and no
signs for local recidive or metastasis was found. We
recommend considering endoscopic electrocautery for
selected endobronchial or endotracheal cases of ACC,
where surgical or oncologic treatment is not possible,
in curative or palliative purposes.
which arises from the major and minor salivary
glands of the head and neck. Rarely, it can develop
from secretory glands originating in the trachea, breast,
lacrimal glands or other exocrine glands. We present a
case of a fifty-years-old female patient with a polypoid
adenoid ACC, growing from the middle of the left
main bronchus causing obstruction of the bronchial
lumen. Complete resection of the polypoid mass was
accomplished using an electrocautery snare through
the flexible bronchoscope, cauterizing the stalk in one
attempt. The tumor was extracted in the manner of foreign
body extraction, attaining complete recanalization
and providing patency of the visible bronchial tree
with no immediate or late complications. The followup
bronchoscopy after 6 months found no signs of persistent
or recurrent disease. The patient was followed
at 6 and 12 months and every year for 5 years and no
signs for local recidive or metastasis was found. We
recommend considering endoscopic electrocautery for
selected endobronchial or endotracheal cases of ACC,
where surgical or oncologic treatment is not possible,
in curative or palliative purposes.
File(s)![Thumbnail Image]()
Loading...
Name
MMP202074(3).pdf
Size
3.45 MB
Format
Adobe PDF
Checksum
(MD5):8d9e1c6def2f134f0d6b1e6248027dfa