Long-term clinical remission following radiotherapy in tracheal adenocarcinoma: review of the published work.
A 55-year-old man with tracheal adenocarcinoma presented with difficulty in breathing and cough with blood-tinged expectoration. As the patient refused surgery, he was treated with definitive radiotherapy to the neck and superior mediastinum to a total dose of 50 Gy (initially 40 Gy by AP/PA portals followed by 10 Gy with a three-field technique). He showed significant symptomatic relief to radiotherapy and defaulted from further treatment. He remained asymptomatic for 7 years, following which he developed sternal metastases and a local tumour recurrence. This case illustrates that long-term clinical remission can be achieved by radiotherapy alone in this rare histological subtype of tracheal carcinoma.
Puri
T
T
Department of Radiotherapy and Oncology, All India Institute of Medical Sciences, New Delhi, India. tarunpuri90@hotmail.com
Gunabushanam
G
G
Malik
M
M
Kukreja
M
M
Julka
P K
PK
Rath
G K
GK
D000230:Adenocarcinoma / Q000473:pathology / Q000532:radiotherapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D011879:Radiotherapy Dosage; D012074:Remission Induction; D014134:Tracheal Neoplasms / Q000473:pathology / Q000532:radiotherapy*