eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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5/2021
vol. 13
 
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abstract:
Case report

A case of adenoid cystic carcinoma of trachea: treatment complications and radiotherapy role

Aleksandra Piórek
1
,
Sylwia Tabor
1
,
Piotr Jaśkiewicz
1
,
Anetta Kasprowicz
2
,
Magdalena Zaborowska-Szmit
1
,
Kinga Winiarczyk
1
,
Adam Płużański
1
,
Dariusz Kowalski
1
,
Maciej Krzakowski
1

1.
Lung Cancer and Chest Tumors Department, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
2.
Brachytherapy Department, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
J Contemp Brachytherapy 2021; 13, 5: 588–592
DOI: https://doi.org/10.5114/jcb.2021.109853
Online publish date: 2021/10/08
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Purpose:
Adenoid cystic carcinoma (ACC) of trachea is a relatively rare malignant neoplasm, for which there is a lack of prospective clinical trials investigating treatment effectiveness. Most of the authors prefer surgical resection followed by post-operative radiation therapy in case of incomplete excision. There are no available prospective data on post-relapse treatment.

Case presentation:
The current paper presents a case of tracheal ACC in a young woman, treated solely with surgical resection without radiotherapy due to postoperative neurological complications requiring additional diagnostics, management, and treatment. As a complication itself, spinal cord dysfunction after tracheal surgery is extremely rare, in which radical radiotherapy and brachytherapy were successfully administered after disease recurrence.

Conclusions:
Lack of post-operative radiotherapy resulting from neurological complications could be a reason for ACC recurrence in our patient. Administration of radiotherapy after incomplete resection of recurrent disease may lead to long-term locoregional control.

keywords:

tracheal tumors, adenoid cystic carcinoma, radiotherapy, spinal cord dysfunction

  
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