Resectional management of thyroid carcinoma invading the airway

94Citations
Citations of this article
7Readers
Mendeley users who have this article in their library.

Abstract

Fifty-two patients had thyroid carcinoma invading the airway. Thirty-four underwent resection; 18 were male and 16 female. Age ranged from 17 to 79 years. Twenty-seven had resection with airway reconstruction (1 wedge excision, 10 sleeve tracheal resections, 6 tracheal resections with a portion of the cricoid cartilage, and 10 complex laryngotracheoplastic resections). Seven required cervicomediastinal exenteration with mediastinal tracheostomy; 3 of these had esophagectomy with colon interposition. Nineteen tumors were papillary, 6 follicular, 4 mixed papillary and follicular, 1 squamous, 2 undifferentiated giant cell, 1 anaplastic spindle cell carcinoma, and 1 carcinosarcoma. Three postoperative deaths occurred. Thirteen of the 31 survivors died of cancer from 1 4 to 10 1 4 years postoperatively (average, 4.4 years). Four died of other diseases. Fourteen are alive from 1 12 to 14 1 3 years postoperatively (average, 5.3 years). Only 2 patients had airway recurrence. Resection of the airway invaded by thyroid malignancy in the absence of extensive metastases offers prolonged palliation, avoids suffocation due to bleeding or obstruction, and may produce cure. Airway reconstruction should be performed whenever technically feasible. © 1992.

Cite

CITATION STYLE

APA

Grillo, H. C., Suen, H. C., Mathisen, D. J., & Wain, J. C. (1992). Resectional management of thyroid carcinoma invading the airway. The Annals of Thoracic Surgery, 54(1), 3–10. https://doi.org/10.1016/0003-4975(92)91131-R

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free