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Management of Positive Margins After Resection of Primary Tracheal Malignancies

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Difficult Decisions in Thoracic Surgery

Abstract

Tracheal resection and reconstruction remains the cornerstone of treatment for airway malignancies. The length of trachea that can be safely resected is limited by the need to create a well-vascularized, tension-free anastomosis and therefore microscopically positive surgical margins are not uncommon. For the two most common types of tracheal malignancies, squamous cell carcinoma (SCC) and adenoid cystic carcinoma (ACC), the use of adjuvant RT therapy (RT) to enhance survival after resection is currently supported by most retrospective data. Studies specifically addressing even rarer low-grade primary tracheal tumors such as carcinoid and mucoepidermoid carcinoma are lacking. The low incidence of primary tracheal tumors poses a barrier to study the use of adjuvant therapy after tracheal resection for malignancy in a prospective fashion.

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Correspondence to Maria Lucia L. Madariaga .

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Furlow, P.W., Madariaga, M.L.L. (2020). Management of Positive Margins After Resection of Primary Tracheal Malignancies. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-47404-1_47

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  • DOI: https://doi.org/10.1007/978-3-030-47404-1_47

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  • Print ISBN: 978-3-030-47403-4

  • Online ISBN: 978-3-030-47404-1

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