Photodynamic therapy for adenoid cystic carcinoma of the trachea: a case report and literature review
气管腺样囊性癌光动力治疗1例报道及文献复习

摘要

目的 报道1例气管腺样囊性癌光动力治疗的临床情况。方法 对我院2023年10月30日收治的气管腺样囊性癌患者病例资料进行分析，了解疾病表现、治疗方式及预后。结果 于2023年11月1日第一次行全麻气管镜检查，并行镜下肿物切除+冷冻术，术后患者憋喘症状明显缓解，常规病理示腺样囊性癌，于2023年11月6日第一次行气管镜下光动力治疗，治疗效果佳，术后常规抗感染、祛痰、平喘等治疗，反复给与气道坏死物清理10余次，逐步稳定恢复后出院。结论 气管腺样囊性癌临床中主要以手术切除治疗，但对于病变范围过大、或肿瘤直径过大的情况则需要实行介入治疗，通过光动力治疗能够获得较佳效果。

Abstract

Objective To report the clinical situation of photodynamic therapy for a case of tracheal adenoid cystic carcinoma.
Methods Analyze the case data of patients with adenoid cystic carcinoma of the trachea admitted to our hospital on October 30, 2023, to understand the disease manifestations, treatment methods, and prognosis.
Results On November 1, 2023, the patient underwent the first general anesthesia bronchoscopy examination, combined with endoscopic tumor resection and cryosurgery. The postoperative symptoms of dyspnea were significantly relieved, and routine pathology showed adenoid cystic carcinoma. On November 6, 2023, the patient underwent the first photodynamic therapy under bronchoscopy, which had a good therapeutic effect. After surgery, routine anti infection, expectorant, and anti asthma treatments were performed, and airway debris was repeatedly cleared more than 10 times. After gradually stabilizing and recovering, the patient was discharged.
Conclusion   Surgical resection is the main treatment for adenoid cystic carcinoma of the trachea in clinical practice. However, for cases where the lesion area is too large or the tumor diameter is too large, interventional treatment is necessary. Photodynamic therapy can achieve better results.