Radical operation for thyroid carcinoma invading the trachea.
Abstract
We report 12 cases of well-differentiated thyroid carcinoma that invaded the trachea. In all of these cases, we performed a hemithyroidectomy, including the isthmus, with an accompanying neck dissection and resection of the trachea. Six of 12 patients experienced hemoptysis, and a diagnosis of tracheal invasion was made preoperatively in nine patients by tracheal endoscopy and computed tomography. Histologic diagnosis was confirmed by a preoperative biopsy in one case only. An end-to-end anastomosis of the trachea was performed in five patients, an anastomosis between the cricoid cartilage and the trachea was performed in five patients, and an anastomosis between the thyroid cartilage and the trachea was performed in two patients. One patient with a recurrence of tumor died of tracheal bleeding 11/2 years later. One patient died of massive gastrointestinal bleeding postoperatively. The remaining ten patients have been doing well from three months to five years two months postoperatively.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 해부 | trachea
|
scispacy | 1 | ||
| 해부 | cricoid cartilage
|
scispacy | 1 | ||
| 해부 | thyroid cartilage
|
scispacy | 1 | ||
| 합병증 | tracheal endoscopy
|
scispacy | 1 | ||
| 합병증 | tracheal bleeding
|
scispacy | 1 | ||
| 합병증 | gastrointestinal bleeding
|
scispacy | 1 | ||
| 기법 | endoscopy
|
내시경 | dict | 1 | |
| 질환 | thyroid carcinoma
|
C0549473
Thyroid carcinoma
|
scispacy | 1 | |
| 질환 | hemoptysis
|
C0019079
Hemoptysis
|
scispacy | 1 | |
| 질환 | tumor
|
C0027651
Neoplasms
|
scispacy | 1 | |
| 질환 | tracheal bleeding
|
C0340220
Tracheal Hemorrhage
|
scispacy | 1 | |
| 질환 | gastrointestinal bleeding
|
C0017181
Gastrointestinal Hemorrhage
|
scispacy | 1 | |
| 질환 | well-differentiated thyroid carcinoma
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | tracheal
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Adenocarcinoma; Adult; Aged; Esophagus; Female; Humans; Lymph Node Excision; Male; Middle Aged; Neck; Neoplasm Invasiveness; Prognosis; Recurrence; Surgery, Plastic; Thyroid Neoplasms; Thyroidectomy; Tomography, X-Ray Computed; Trachea; Tracheal Neoplasms
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