| Abstract: | A 55‐year‐old man with tracheal adenocarcinoma presented with difficulty in breathing and cough with blood‐tinged expectoration. As the patient refused surgery, he was treated with definitive radiotherapy to the neck and superior mediastinum to a total dose of 50 Gy (initially 40 Gy by AP/PA portals followed by 10 Gy with a three‐field technique). He showed significant symptomatic relief to radiotherapy and defaulted from further treatment. He remained asymptomatic for 7 years, following which he developed sternal metastases and a local tumour recurrence. This case illustrates that long‐term clinical remission can be achieved by radiotherapy alone in this rare histological subtype of tracheal carcinoma. |
