𝔖 Bobbio Scriptorium
✦   LIBER   ✦

The management of thyroid carcinoma invading the larynx or trachea

✍ Scribed by Jimmie Honings; Antonia E. Stephen; Henri A. Marres; Henning A. Gaissert

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
114 KB
Volume
120
Category
Article
ISSN
0023-852X

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Objectives/Hypothesis:

To describe the controversies in the management of thyroid carcinoma invading the airway.

Study Design:

Contemporary review of literature; level of evidence: 5.

Results:

Invasion of the larynx or trachea by thyroid carcinoma is uncommon and often identified at the time of operation, when the surgeon must decide the extent of resection. Invasion of the airway is associated with loss of tumor differentiation and a reduction in long‐term survival compared to tumors limited to the thyroid gland. Whether or not the invaded airway should be resected remains controversial. Tangential shave excision of tumor is commonly performed, despite a marked risk of local recurrence. Circumferential sleeve resection of the larynx and trachea is safe and lowers the risk of local recurrence. In recurrent disease, laryngotracheal resection provides effective palliation of airway obstruction and hemoptysis.

Conclusions:

Long‐term (>10–20 years) prospective studies are required to compare the outcome after shave excision with segmental airway resection for thyroid carcinoma. Based on the current literature and on our experience, we advocate circumferential tracheal resection in the setting of airway involvement. Laryngoscope, 2010

πŸ“œ SIMILAR VOLUMES

Aggressive resection of the airway invad
Aggressive resection of the airway invaded by thyroid carcinoma
✍ Y.-F. Tsai; Y.-L. Tseng; M.-H. Wu; C.-J. Hung; W.-W. Lai; M.-Y. Lin πŸ“‚ Article πŸ“… 2005 πŸ› John Wiley and Sons 🌐 English βš– 105 KB

## Abstract ## Background The aim of this study was to investigate the hypothesis that outcome following concomitant airway resection is superior to that after shaving of the tumour in patients with airway invasion of thyroid carcinoma. ## Methods The records of 34 patients with thyroid cancer w

Thyroid function after radiotherapy and
Thyroid function after radiotherapy and laryngectomy for carcinoma of the larynx
✍ Palmer, B. V. ;Gaggar, N. ;Shaw, H. J. πŸ“‚ Article πŸ“… 1981 πŸ› Wiley (John Wiley & Sons) βš– 301 KB πŸ‘ 2 views

## Abstract Total levels of thyroxine (T~4~) and thyroid‐stimulating hormone (TSH) were measured in 37 patients who had previously had carcinoma of the larynx treated by radiotherapy and total laryngectomy with thyroid lobectomy. Ten percent of the patients had clinical features of hypothyroidism a

Carcinoma in situ of the glottic larynx:
Carcinoma in situ of the glottic larynx: Excision or irradiation?
✍ Cam Nguyen; Bizhan Naghibzadeh; Martin J. Black; Louise Rochon; George Shenouda πŸ“‚ Article πŸ“… 1996 πŸ› John Wiley and Sons 🌐 English βš– 416 KB πŸ‘ 2 views

Background. The management of glottic carcinoma in situ (CIS) is controversial, with vocal cord stripping (S) generally accepted as the standard treatment, and radiotherapy (RT) as an alternative. We present our experience with 34 patients treated by either stripping or RT. Methods. Between 1974 an