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PRIMARY ADENOCYSTIC CARCINOMA OR CYLINDROMA OF THE TRACHEA: REPORT OF A CASE. DR. M. R. GUTTMAN.
A basal cell cancer of rare type (adenocystic carcinoma or cylindroma) is reported as a primary growth in the trachea, bringing the total number of recorded primary malignant neoplasms of this organ to 28.
Histologically such a neoplasm exhibits anastomosing cords and nests of slightly anaplastic cells that closely resemble basal cells of surface epithelium. The cell nests present central lumens that may contain cellular débris or a hyalinlike material.
Grossly the neoplasm tends to grow slowly and to infiltrate beneath the tracheal mucosa. The lumen of the trachea is irregularly reduced eccentrically. The mucosa overlying the growth appears red and congested. There is no tendency for the neoplasm to erode the mucosa or to metastasize to regional lymph glands or to the abdominal viscera.
The characteristic symptomatology concerns a progressive increase in