[Study on clinical manifestations and treatment of primary cervical tracheal malignant tumor of children].
OBJECTIVE
To study the clinical manifestations and treatment of the primary cervical tracheal malignant tumor of children.


METHODS
Five cases diagnosed as primary tracheal malignant tumor with fibrolaryngoscopy, CT scan and pathology were retrospectively analyzed and reviewed. Extraction of malignant tumor was performed with tracheoscopy and nasal endoscope after emergent tracheotomy below the tumor in 4 cases, and tracheotomy after intubation in 1 case. After operation, 4 children received radiotherapy, and 1 case received laser therapy add radiotherapy.


RESULTS
Five cases were followed up for three to eight years, and no recurrence was found.


CONCLUSIONS
There was no specific manifestation in early tracheal malignant tumor, but it was critical and emergent during symptoms appear. Imaging examination was a very invaluable diagnosis method. Optimal and effective therapeutic protocol is tracheostomy under local anesthesia to keep upper airway patency followed by surgical extraction and radiotherapy. It was not appropriate to have tracheal wall resection for children.
Li
Youzhong
Y
Department of Otorhinolaryngology Head and Neck Surgery, the Second Affiliated Xiangya Hospital, Central South University, Changsha, 410011, China. liyouzhong196311@yahoo.com.cn
Lu
Yongde
Y
Peng
Anquan
A
Ren
Jihao
J
Yang
Xinming
X
D000293:Adolescent; D002648:Child; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D009666:Nose / Q000601:surgery; D012189:Retrospective Studies; D014132:Trachea / Q000601:surgery; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014140:Tracheotomy / Q000379:methods