Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Management of Thyroid Cancer with Laryngotracheal Invasion

후두와 기관을 침범한 갑상선암의 치료

  • Kim Kwang-Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Sung Myung-Whun (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Roh Jong-Lyel (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Chung Won-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Kim Chun-Dong (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University) ;
  • Suh Jung-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University)
  • 김광현 (서울대학교 의과대학 이비인후과학교실) ;
  • 성명훈 (서울대학교 의과대학 이비인후과학교실) ;
  • 노종렬 (서울대학교 의과대학 이비인후과학교실) ;
  • 정원호 (서울대학교 의과대학 이비인후과학교실) ;
  • 김춘동 (서울대학교 의과대학 이비인후과학교실) ;
  • 서정호 (서울대학교 의과대학 이비인후과학교실)
  • Published : 1996.06.01
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Abstract

When thyroid carcinoma invades the larynx or trachea, the proper treatment is needed because of significant morbidity and mortality due to airway obstruction. Hemoptysis and dyspnea are the result of intraluminal extension of the tumor and call for immediate investigation with endoscopic examination and CT. If the thyroid carcinoma with extracapsular spread invades only outer perichondrium of the tracheal or laryngeal cartilage, the shaving operation would be sufficient, but if the tumor invades the cartilage or if there is intraluminal invasion, it is mandatory to remove partial or total part of some aerodigestive tract structures. We retrospectively analyzed 14 surgical cases of the thyroid cancer with laryngotracheal invasion(12 papillary carcinomas and 2 anaplastic carcinomas) at the Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital. The analysis was focused on clinical manifestation, pathologic findings, types of management and results. Survival result was not adequately analyzed due to some recently operated cases.

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