Osman BAHADIR, Mehmet İMAMOĞLU, Ömer KORKMAZ, Ümit ÇOBANOĞLU

Tiroid tümörüne benzeyen trakeal adenoid kistik karsinom

Trakeanın primer tümörleri nadirdir. Adenoid kistik karsinom, trakeanın malign tümörleri içinde ikinci sıklıkta görülür ve semptomları nonspesifiktir. Altmış altı yaşında kadın hasta iki haftalık ilerleyici dispne ve öksürük yakınmasıyla başvurdu. Hastanın dört yıldır birçok kez astım tedavisi gördüğü öğrenildi. Fi- zik muayenede, tiroid bezinde büyük, sert, multi-lo- bule, hassas olmayan kitle saptandı. İndirekt laren- goskopik muayenede, subglottik havayolunun önde daraldığı görüldü. Direkt servikal grafide trakea hava sütununda daralma vardı. Acil trakeotomi açıldı ve kitleden biyopsi alındı. Histopatolojik inceleme sonu- cu adenoid kistik karsinom olarak değerlendirildi. Bu durumda kitlenin trakeadan kaynaklandığı ve tiroid bezine yayıldığı düşünüldü. Uygulanan tıbbi tedavi- ye karşın hasta dördüncü ayda kaybedildi

Anahtar Kelimeler:

Karsinom, adenoid kistik, tiroid bezi, trakea tümörü

Tracheal adenoid cystic carcinoma presenting as a thyroid tumor

Primary tumors of the trachea are rare. Adenoid cys tic carcinoma is the second most common tracheal malignancy and its symptoms are nonspecific. A 66- year-old woman presented with complaints of Pro gressive dyspnea and cough of a two-week duration.She had received asthmatic treatment many times for the past four years. Physical examination revealed a large, firm, nontender, multilobular mass in the thyroid gland. Indirect laryngoscopic examination showed subglottic stenosis. On a plain cervical radiograph, there was narrowing of the tracheal lumen. Emergent tracheotomy was performed and a biopsy was taken from the mass. Histopathologic examination revealed adenoid cystic carcinoma, suggesting a thyroid mass with a tracheal origin. Despite medical treatment, the patient died in the fourth month.

Keywords:

Carcinoma, adenoid cystic, thyroid gland, tracheal neoplasms,

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