1病例介绍患者男,68岁。因“声嘶7年,咳嗽、痰中带血半年”于2004年6月10日入住我院。个人史:吸烟38年,平均20支/d;饮酒30年,平均100 g/d。入院后行胸部CT见气管内不规则软组织肿块影(图1a)。纤维支气管镜检查:气管上段距声门约4 cm可见新生物凸向管腔生长(图1b)。病理学检查示:气管腺样囊性癌(图1c)。于2004年6月21日-2004年7月25 1 case description Patient male, 68 years old. Because of “hoarseness 7 years, cough, bloody sputum six months ” in June 10, 2004 admitted to our hospital. Personal history: smoking 38 years, an average of 20 / d; drinking 30 years, an average of 100 g / d. Chest CT was seen after admission to see tracheal irregular soft tissue mass (Figure 1a). Fiberoptic bronchoscopy: trachea from the glottis about 4 cm from the upper corneal growth of new biological convex tube (Figure 1b). Pathological examination showed: Tracheal adenoid cystic carcinoma (Figure 1c). From June 21, 2004 to July 2004, 25