HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hermes C. Grillo Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Grillo, H. C. Search for Related Content PubMed PubMed Citation Articles by Grillo, H. C. Related Collections Trachea and bronchi

Ann Thorac Surg 2003;75:1039-1047
© 2003 The Society of Thoracic Surgeons

---

Review

Development of tracheal surgery: a historical review. Part 2: treatment of tracheal diseases

^a Division of General Thoracic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA
^b Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA

^* Address reprint requests to Dr Grillo, Massachusetts General Hospital, Blake 1570, 55 Fruit St, Boston, MA02114, USA
e-mail: pguerriero@partners.org

The first 300 words of the full text of this article appear below.

	Introduction

 
This article is the second of a two-part historical review about the development of tracheal surgery. Part 1, "Techniques of Tracheal Surgery," appeared in the preceding issue of The Annals. Part 2 is a review of treatments of specific diseases of the trachea. There is, of course, considerable overlap. References for both parts are numbered sequentially. See "Selected References" at the end of this article for further explanation.

	Treatment of tracheal diseases

 
Primary tracheal tumors
Thus far, this review has focused on the evolution of techniques of tracheal surgery. Application of these and additional techniques to specific diseases of the airways will now be considered. The challenge of treating the rare tracheal tumors that were seen provided the initial stimulus for tracheal resection [1, 5]. The very rarity of primary tracheal neoplasms, on the other hand, provided limited incentive to attack this problem systematically. In 1938, Culp [65] collected 433 reported cases of primary tracheal tumors, beginning with Lieutaud’s discovery of fibroma at autopsy in 1767. From prior cumulative series, Culp noted the slow increment from 147 cases in 1898 to 201 in 1908, to 252 in 1914, and 351 in 1929. He provided an exhaustive bibliography, but personally found only one carcinoma in 9,000 autopsies at McGill University and one in 12,700 autopsies at Montreal General Hospital. Ellman and Whittaker [66] raised the total to 507 in 1947. "Cylindroma" was often classified as adenocarcinoma, and tracheopathia osteoplastica was included as a tumor. Houston and colleagues [194] collected 53 primary cancers of trachea in more than 30 years at the Mayo Clinic, showing a distribution now recognized as expected: 45% squamous, 36% "cylindroma" (adenoid cystic carcinoma), and the balance of other origins, including mesenchymal tumors. Reporting a 30 years’ experience in 1969, only two squamous cancers had been removed, one by lateral excision; . . . [Full Text of this Article]

This article has been cited by other articles:

				A. Ernst, D. Feller-Kopman, H. D. Becker, and A. C. Mehta Central Airway Obstruction Am. J. Respir. Crit. Care Med., June 15, 2004; 169(12): 1278 - 1297. [Abstract] [Full Text] [PDF]