Surgical Management of Cricotracheal Invasion by Papillary Thyroid Carcinoma

Annals of Surgical Oncology
Sueyoshi Moritani

Abstract

In general, patients with papillary thyroid carcinoma (PTC) have an excellent postoperative prognosis. Those with cricoid and/or tracheal PTC invasion, however, are at a higher risk of postoperative morbidity and airway insufficiency. We investigated postoperative airway outcomes, locoregional recurrence, and survival rates in patients with PTC who underwent cricotracheal resection. The records of PTC patients who underwent surgery at our institution between 1981 and 2009 were reviewed retrospectively, and 110 patients with cricotracheal invasion were enrolled. Curative resection was performed in all patients, and cricotracheal function was preserved or reconstructed when possible. Of the 110 patients, 57 and 53 patients had superficial and intraluminal invasion of the larynx, respectively. After the initial surgery, the 10-year disease-specific survival rates were 90.8 and 44.4 % in patients with superficial and intraluminal invasion of the cricotracheal area, respectively. Only six patients (5.5 %) had an isolated upper aerodigestive tract recurrence. Five patients were managed with an additional window resection as salvage surgery. Consequently, only one patient (0.9 %) underwent total laryngectomy. Altogether, 31 patients (...Continue Reading

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Citations

Jul 28, 2016·World Journal of Clinical Cases·Fanourios GeorgiadesGiannis Thrasyvoulou
Aug 28, 2019·Journal of Surgical Oncology·Earl AbrahamArdalan Ebrahimi
May 24, 2021·World Journal of Surgery·Anton WarshavskyGilad Horowitz
Jul 23, 2021·Interactive Cardiovascular and Thoracic Surgery·Xin XiaXingming Chen

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