Adenoid cystic carcinoma of the trachea--a cause of pseudo-angina pectoris.
Primary tracheal tumors are rare. Typically slow growing, they present late in the course of disease, with obstructive respiratory symptoms. A 25-year-old man developed external substernal chest pain and pressure with dyspnea that were relieved with rest. Noninvasive evaluation identified a tracheal tumor, adenoid cystic carcinoma by biopsy, which was previously undescribed as a cause of pseudo-angina pectoris. The patient's evaluation, management, and 20-month follow-up are presented. A mechanism for the patient's noncardiac exertional chest pain is proposed. Previous experience with adenoid cystic carcinomas of the trachea is reviewed.
Randall
D
D
Department of Otolaryngology--Head and Neck Surgery, Naval Hospital, Portsmouth, Virginia 23708-5000.
Parker
G S
GS
Savage
R W
RW
D000328:Adult; D003528:Carcinoma, Adenoid Cystic / Q000150:complications* / Q000628:therapy; D002637:Chest Pain / Q000209:etiology*; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D014134:Tracheal Neoplasms / Q000150:complications* / Q000628:therapy