Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-09T16:11:00.414Z Has data issue: false hasContentIssue false
  • English
  • Français

Conservative surgical management of invasive differentiated thyroid cancer

Published online by Cambridge University Press:  29 June 2007

Y. Shvili ,
Y. Zohar ,
N. Buller  and
N. Laurian
Y. Shvili*
Affiliation:
Petah-Tiqva, Israel
Y. Zohar
Affiliation:
Petah-Tiqva, Israel
N. Buller
Affiliation:
Petah-Tiqva, Israel
N. Laurian
Affiliation:
Petah-Tiqva, Israel
*
Dr. N. Laurian, Department of Otolaryngology, Hasharon Hospital, Petah-Tiqva 49372, Israel.
Get access Rights & Permissions [Opens in a new window]

Abstract

The majority of well differentiated thyroid carcinoma are tumours of low grade malignancy. Laryngotracheal invasion by well differentiated thyroid carcinoma is an uncommon occurrence. The surgical management of patients with thyroid cancer invading the upper airway has primarily been by total laryngectomy. Other surgeons recommend in selected cases partial laryngeal and/or tracheal resection.

A total of 122 patients with thyroid carcinoma were treated in our department between 1967 and 1982. Only seven patients with well differentiated tumours had airway invasion. In these seven patients we used a partial laryngeal and/or tracheal resection. In three of the patients with tracheal invasion a myoperichondrial flap was used for closing the tracheal defect. A partial resection of the larynx and trachea, and end to end anastomosis between the trachea and the remaining part of the larynx was performed in another four patients.

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 99 , Issue 12 , December 1985 , pp. 1255 - 1260
Copyright
Copyright © JLO (1984) Limited 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Clark, R. L., Ibanez, M. L. and White, E. C. (1966) What constitutes an adequate operation for carcinoma of the thyroid? Archives of Surgery, 92: 23–26.CrossRefGoogle ScholarPubMed
Cody, H. S. III and Shah, J. P. (1981) Locally invasive well differentiated thyroid cancer. American Journal of Surgery, 142: 480–483.CrossRefGoogle ScholarPubMed
Djalilian, M., Beahrs, O., Devine, K., Weilano, L. and De Santo, L. (1974) Intraluminal involvement of the larynx and trachea by thyroid cancer. American Journal of Surgery, 128: 500–504.CrossRefGoogle ScholarPubMed
Frazell, E. and Foot, F. W. (1958) Papillary cancer of the thyroid: a review of 25 years of experience. Cancer, 11: 895–921.3.0.CO;2-V>CrossRefGoogle ScholarPubMed
Friedman, M., Shelton, V. K., Skolnik, E. M., Berlinger, F. G. and Arab, M. (1982) Laryngotracheal invasion by thyroid carcinoma. Annals of Otology, Rhinology and Laryngology, 91: 363–368.CrossRefGoogle Scholar
Lawson, W., Som, H. L. and Biller, H. F. (1977) Papillary adenocarcinoma of the thyroid invading the upper air passages. Annals of Otology, Rhinology and Laryngology, 86: 751–755.CrossRefGoogle ScholarPubMed
Schindel, J. (1971) Surgery in malignant tumors of the thyroid gland: a review of 15 years experience in 225 cases. Annals of Otology, Rhinology and Laryngology, 80: 61–66.CrossRefGoogle ScholarPubMed