Open AccessResection of the Trachea Infiltrated by Thyroid Carcinoma
Author(s) -
Tsuneo Ishihara,
Shiro Yamazaki,
Koichi Kobayashi,
Hiroshi Inoué,
Shimao Fukai,
Kunihiko Ito,
Takashi Mimura
Publication year - 1982
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198204000-00019
Subject(s) - medicine , carcinoma , thyroid carcinoma , biopsy , surgery , papillary adenocarcinoma , anastomosis , adenocarcinoma , infiltration (hvac) , medullary carcinoma , thyroid , medullary cavity , radiology , pathology , cancer , physics , thermodynamics
Twenty-four thyroid carcinoma patients with infiltration of the trachea were treated surgically. The histological diagnosis in these cases included papillary adenocarcinoma in 22 different patients, medullary carcinoma in one patient, and undifferentiated carcinoma in one patient. In 19 of the patients hemoptysis was noted, and dyspnea was present in ten patients. In 14 of the 24 patients the carcinoma was diagnosed by radiographs of the neck, while in seven patients it was demonstrated bronchoscopically. In three patients tracheal infiltration by thyroid carcinoma was diagnosed by biopsy of the tracheal wall at operation. When the tracheal wall was infiltrated by thyroid carcinoma, treatment consisted of circumferential resection of the involved segment of the trachea followed by an end-to-end anastomosis. Of the 24 patients, 17 survived and six died. In the 17 patients who survived, 13 were disease free. Of this number, six survived more than five years after the initial tracheal resection.