|Treatment of cancer of the trachea combined: surgical removal, followed by radium and X-ray. Operative treatment is reduced to the excision of the tumor within the healthy tissue. When a circular lesion is lateral resection of the body. Accessibility for radical surgical intervention is determined by the level of the tumor, it is more difficult than the tumor is located below. The lowest units are not available for surgery. After partial removal of the tracheal wall defects are replaced by plastic surgery. When sleeve resection of the trachea ends converge and are joined. In this case, there is always danger of dehiscence, to prevent what the patient's head in the early days after the operation is fixed in an inclined position. |
In cases where completely remove the tumor can not be applied palliative surgery. These include primarily traheofissura, where cut by several rings of the trachea over the tumor and the latter is removed with forceps, a sharp spoon or electrocautery.
Often when you are running must be limited to cancer of the trachea tracheotomy. This operation for tumors of the trachea to be associated with risks. When the tumor occupies the greater part of the lumen of the trachea, the patient breathes through a narrow slit at a certain position of the head; change this situation with a tracheotomy, and the introduction of the expander or a tracheotomy tube through the tumor mass can cause instant death. Therefore, a tracheotomy is recommended in the Half-upright position and with a high tumor to open the trachea below the narrowing. In all other cases, transactions begin with cricotomy. Then become visible to the contours of the tumor at the top of its pole and the entrance into a free slot through which the patient breathes. This gap is introduced long before the bronchus, a metal tube, and then in a relaxed atmosphere made the subsequent manipulation of the trachea.
After radical excision of the tumor are using radiation therapy. It must confine ourselves in those patients where the time for surgical removal of the lost. One of radiation treatment is not enough, and despite the apparent improvement after treatment, relapse occurs soon.
Sarcoma occurs in the trachea is extremely rare. As the primary, she appears as a result of degeneration of benign connective tissue tumors. Secondary tumors are in the trachea as a result of germination of sarcoma of thyroid gland or lymph nodes. On the clinical course of sarcoma of the trachea differs little from cancer.
The prognosis of carcinoma of the trachea is very serious. For late treatment of patients with medical advice prediction deteriorates. Forecast the nature of the tumor at tsilindrome more favorable.
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