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Vol. 17. Issue 1.
Pages 34-37 (January - February 1981)
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Vol. 17. Issue 1.
Pages 34-37 (January - February 1981)
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Carcinoma adenoide quistico de la traquea
Adenoid cystic carcinoma of the trachea
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I. Suarez Lozano, M. Cerdan Lozano, J. Roman Morilla, J. Hidalgo Prada, A. Cabello Otero
Residencia Sanitaria de la Seguridad Social «Manuel Lois García». Servicio de Medicina Interna. Huelva
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Resumen

Se presenta un caso de carcinoma adenoide quístico de la tráquea, insistiendo en la extraordinaria rareza de esta enfermedad y en la dificultad que plantea su diagnóstico precoz.

El que sus síntomas más comunes, sibiliancias, disnea, tos y hemoptisis coincidan con los del asma bronquial y bronquitis crónica, unido a la normalidad de las radiografías rutinarias del tórax, hacen que su diagnóstico, cuando se llega a él, sea tardío y dificultoso.

Las radiografías de tórax con alto kilovoltaje, tomografías, xerotomografías y la broncoscopia, creemos que son los medios de mayor rendimiento diagnóstico en aquellos Centros que no disponen de un utillaje complejo. El tratamiento generalmente aceptado es la extirpación quirúrgica. La supervivencia a los 5 años de la intervención oscila alrededor del 75%.

Summary

The authors present a case of cystic adenoid carcinoma of the trachea, and insist on the extraordinary rarity of this disease and on the diffículties for precocious diagnosis.

The most common symptoms, whistling, dyspnea, cough and hemoptysis coincide with those of bronchial asthma and chronic bronchitis; together with the normality of routine X-rays of the thorax, mean that the diagnosis, when it is finally achieved, is both late and difficult.

For those centers that do not have complex equipment available, the authors feel that chest X-rays with high kilovolts, tomographies, xerotomographies and bronchoscopies are of greatest diagnostic value. The generally accepted treatment is surgical extirpation. Survival at 5 years after the intervention is around 75%.

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Copyright © 1981. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología

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