TY - CHAP M1 - Book, Section TI - Resection of the Carina A1 - Ashiku, Simon K. A1 - DeCamp, Malcolm M. A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Colson, Yolonda L. A2 - Jaklitsch, Michael T. A2 - Krasna, Mark J. A2 - Mentzer, Steven J. A2 - Williams, Marcia A2 - Adams, Ann PY - 2015 T2 - Adult Chest Surgery, 2e AB - Airway neoplasms account for approximately 90% of carinal resections.1 The incidence of primary tracheal tumors is unclear, but is known to be rare. A recent population-based cancer registry analysis using the SEER database demonstrated an incidence of 2.6 tracheal tumor cases per 1,000,000 people per year.2 Carinal tumors, as a subcategory of tracheal tumors, are even less common. Most are malignant and can be divided into bronchogenic carcinoma and other airway neoplasms. Bronchogenic carcinomas are by definition malignant; the other airway neoplasms may exhibit a wide range of behavior. As demonstrated in Table 64-1, the most common malignant primary tracheal neoplasms are squamous cell carcinoma (SCC) and adenoid cystic carcinoma (ACC).3 SCC occurs primarily in smokers in their sixth and seventh decades and may present confined to the trachea or invading into adjacent mediastinal structures. ACC is an exophytic intratracheal lesion, which may involve the tracheal wall to variable extent (Fig. 64-1), and compress mediastinal structures without invading them initially. Lymph node metastases occur, but less commonly than in SCC. A characteristic feature of ACC is its proclivity for extending long distances submucosally and perineurally. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/11/08 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105841705 ER -