https://scholars.lib.ntu.edu.tw/handle/123456789/587205
標題: | Intraluminal involvement of thyroid cancer in the trachea | 作者: | JENG-YUH KO Sheen T.-S. |
關鍵字: | Intraluminal involvement; Thyroid cancer; Trachea | 公開日期: | 1998 | 卷: | 97 | 期: | 4 | 起(迄)頁: | 289-291 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Invasion of the air passage, especially with intraluminal involvement of well-differentiated thyroid carcinoma, is rare. Establishing a patent airway before surgery is necessary, but difficult and risky. We report a case of thyroid cancer with intraluminal invasion of the trachea. A 62-year-old schizophrenic woman presented with blood-tinged sputum and dyspnea. She had undergone a thyroid lobectomy 8 years previously. Computed tomography and bronchoscopy showed a protruding mass in the upper trachea and limited movement of the bilateral vocal folds. Emergency tracheostomy was performed to relieve impending apnea. Fine-needle aspiration of the left protruding thyroid gland showed papillary carcinoma. Because the tumor diffusely infiltrated the thyroid gland and intermingled with fibrosis due to the previous thyroid operation, and because there was limited movement of bilateral vocal folds, the patient underwent total laryngectomy, total thyroidectomy, total parathyroidectomy, and tracheal resection. Neither radioactive iodine nor external irradiation were given because of anticipated poor compliance due to schizophrenia. The postoperative course was smooth and thyroid hormone and calcium were supplemented regularly. The patient has lived well and without local recurrence for more than 3 years since the operation. She can speak with an artificial larynx. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031946489&partnerID=40&md5=8063db9a6739e39f42031413152a8fec https://scholars.lib.ntu.edu.tw/handle/123456789/587205 |
ISSN: | 0929-6646 | SDG/關鍵字: | calcium; radioactive iodine; thyroid hormone; adult; article; aspiration biopsy; bronchoscopy; cancer invasion; case report; computer assisted tomography; female; human; laryngectomy; parathyroidectomy; schizophrenia; subtotal thyroidectomy; thyroid carcinoma; trachea carcinoma; trachea resection; tracheostomy; vocal cord; Carcinoma, Papillary; Female; Humans; Middle Aged; Neoplasm Invasiveness; Thyroid Neoplasms; Trachea |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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