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Mediastinal dissection and reconstruction for recurrent hürthle cell carcinoma of the thyroid

✍ Scribed by Dr. David A. Sloan; Dr. Henry C. Vasconez; Dr. Julia A. Weeks

Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
654 KB
Volume
16
Category
Article
ISSN
1043-3074

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✦ Synopsis

A 69-year-old man presented with recurrent Hurthle cell carcinoma of the thyroid. Successful surgical resection of the recurrent tumor included the larynx and trachea; skin, soft tissues, and lymph nodes of the neck; and the tissues of the anterior mediastinum, including upper sternum and clavicular heads. Coverage of the wound was accomplished with an inferiorly based parasternal fasciocutaneous flap and a long pectoralis myocutaneous flap. This represents the first reported case of Hurthle cell carcinoma treated with mediastinal dissection for extensive local disease. Radical surgical resection should be considered for any patient with Hurthle cell carcinoma of the thyroid in view of the ineffectiveness of nonsurgical modalities.

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