Case Report
 
Adenoid cystic carcinoma of trachea: A rare tumor managed by diode laser and tracheal resection
Navin Bhambhani1, Jayesh Gori2, Vishwanath Masurkar3, Sonal Thombre4
1MS, Consultant Surgical Oncologist, Jupiter Hospital, Thane (w), Maharashtra, India.
2MS, (General Surgeon) Registrar, Department of Surgical Oncology, Inlaks and Budhrani Hospital, Pune, Maharashtra, India.
3DNB, (General Surgeon) Assistant Surgeon, Jupiter Hospital, Thane (w), Maharashtra, India.
4BAMS, (Physician Assistant) Physician Assistant, Jupiter Hospital, Thane (w), Maharashtra, India.

doi:10.5348/ijcri-2014120-CR-10431

Address correspondence to:
Jayesh Jayantilal Gori
35, Odhav Aashish, Janardan Park Co. Operative Soc., Raghunath Nagar
Wagle Estate, Thane
Maharastra
India. Pincode 400 604
Phone: +91 9373396707
Email: jayeshgori26feb@gmail.com

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How to cite this article
Bhambhani N, Gori J, Masurkar V, Thombre S. Adenoid cystic carcinoma of trachea: A rare tumor managed by diode laser and tracheal resection. Int J Case Rep Images 2014;5(10):680–684.


Abstract
Introduction: Adenoid cystic carcinoma (ACC) is a rare type of cancer, which mostly occurs in the salivary glands of the head and neck, and has also been reported in other parts including trachea as case reports or small case series. The patient may present as asthma or acute tracheobronchial obstruction and may require urgent management to relive obstruction. It has a propensity to spread along both submucosal and perineural planes which are responsible for late local recurrence even after complete resection. The best results can be obtained by resection with or without adjuvant radiotherapy.
Case Report: We report a rare case of endoluminal adenoid cystic carcinoma of the distal trachea presenting with acute tracheal obstruction managed bronchoscopically with high power diode laser followed by segmental resection of trachea and radiotherapy with 18 months of follow-up with no evidence of recurrence.
Conclusion: There are only very few reports available for the use of diode laser with flexible bronchoscope in tracheobronchial adenoid cystic carcinoma. However, rarity of such tumors makes it impossible to obtain such data. This technique, in such rare tumors, is safe with almost no or limited morbidity from our experience and available data.

Keywords: Adenoid cystic carcinoma, Diode laser, Tracheal resection, Bronchoscopy


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Author Contributions
Navin Bhambhani – Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Jayesh Gori – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Vishwanath Masurkar – Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Sonal Thombre – Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Navin Bhambhani et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Navin Bhambhani M.S., D.N.B., M.R.C.S. (Ed), Consultant Surgical Oncologist, Special focus - Minimal Access Oncosurgery, Jupiter Hospital Post-graduation - Tata Memorial Hospital, Mumbai. 3 year rotational residency in Oncosurgery - Tata Memorial Hospital, Mumbai. Fellowship in Thoracic Surgery - Tata Memorial Hospital, Mumbai. Various fellowships in Thoracic and Minimal access oncosurgery in - Japan -National cancer center, Tokyo; Kurume University, Fukuoka; Osaka City Hospital, Osaka; and U.S.A. - Memorial Sloan Kettering Cancer Center, New York. Subsequently Associate Consultant in Oncosurgery at the P.D. Hinduja National Hospital & Research Center, Mumbai National Coordinator for VATS & Laparoscopic Colorectal Leadership Programme conducted in co-operation with Ethicon.



Jayesh Gori is Senior registrar at M.N.B.C.I., Inlaks and Budharani hospital, Pune, India. He earned the undergraduate degree M.B.B.S., from Topiwala national medical college and B.Y.L. Nair charitable hospital/MUHS, Nasik, Mumbai Central India and postgraduate degree form M.S. (General Surgery) from Government Medical College, V.N.S.G.U. Surat India. He has published four research papers in national and international academic journals. His research interests include surgical oncology and minimal invasive surgery. He intends to pursue resident in surgical oncology future.



Vishwanath Masurkar is DNB, (General Surgeon) Assistant Surgeon, Jupiter Hospital, Thane (w), Maharashtra, India.



Sonal Thombre is BAMS, (Physician Assistant) Physician Assistant, Jupiter Hospital, Thane (w), Maharashtra, India.