Primary Adenoid Cystic Carcinoma of the Trachea

A 46-year-old woman presented with short history of dyspnea. Five months before the onset of symptom, the patient had a mild wheezing. She had no history of smoking. Physical examination suggested primary tracheal tumor. The patient underwent a V-shaped resection of 3.5 cm of the trachea followed by reconstraction with the trough method. Histological examination revealed adenoid cystic carcinoma. Adjuvant chemotherapy was indicated with 50 mg of adriamycin postoperatively. The patient has done well for 8.5 years with no further treatment.