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Tumeurs malignes de la trachée

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Oncologie thoracique

Part of the book series: Oncologie pratique ((ONCOLPRAT))

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Résumé

Les tumeurs malignes de la trachée sont rares. Les lésions primitives sont principalement le carcinome épidermoïde et le carcinome adénoïde kystique. Le diagnostic est habituellement retardé du fait de la latence clinique. La bronchoscopie est un examen fondamental dans le bilan préopératoire. Le traitement assurant la meilleure survie à long terme est la chirurgie (résection-anastomose trachéale). Au-delà de lésions étendues à plus de la moitié de la trachée (5–6 cm), un substitut trachéal doit être utilisé pour la reconstruction. La recherche d’un greffon trachéal idéal fait l’objet de nombreux travaux actuellement. Le traitement par bronchoscopie interventionnelle (électrocoagulation, mise en place d’endoprothèse) peut être utilisé en cas d’obstruction tumorale aiguë ou chronique, mais doit être considéré comme palliatif. La radiothérapie et/ou la chimiothérapie sont d’efficacité inconstante.

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Authors and Affiliations

  1. Service de chirurgie thoracique et vasculaire, pôle hémato-onco-thorax Hôpital Avicenne, APHP Faculté de Médecine SMBH, Université Paris 13, Bobigny

    A. Seguin, D. Radu & M.-D. Destable

  2. Laboratoire de recherches biochirurgicales Fondation Alain-Carpentier Hôpital Européen Georges-Pompidou, APHP Université Paris-Descartes, Paris

    A. Seguin, D. Radu & E. Martinod

  3. Service de radiologie Hôpital Avicenne APHP Faculté de Médecine SMBH, Université Paris 13, 93009, Bobigny

    P.-Y. Brillet

  4. Pôle hémato-onco-thorax Service de chirurgie thoracique et vasculaire Hôpital Avicenne, APHP Faculté de Médecine SMBH, Université Paris 13, Bobigny

    E. Martinod

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  1. A. Seguin
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  2. D. Radu
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Seguin, A., Radu, D., Destable, MD., Brillet, PY., Martinod, E. (2011). Tumeurs malignes de la trachée. In: Oncologie thoracique. Oncologie pratique. Springer, Paris. https://doi.org/10.1007/978-2-287-99041-0_17

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  • DOI: https://doi.org/10.1007/978-2-287-99041-0_17

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-287-99040-3

  • Online ISBN: 978-2-287-99041-0

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