Surgical management of tracheal shaving for papillary thyroid carcinoma with tracheal invasion

Acta Oto-laryngologica
Kiyoaki TsukaharaKazuyoshi Kawabata

Abstract

Patients showed improved quality of life following tracheal shaving and the carcinoma was well controlled locally, as long as invasion had not progressed to the mucosal surface of the trachea. However, compared with papillary thyroid carcinoma (PTC) with no tracheal invasion, metastasis was common and invasion of organs other than the trachea was frequent, putting many patients into the high-risk group. The clinical course for such patients thus requires careful monitoring, with particular attention to metastasis to other locations. Tracheal shaving can be recommended for patients with PTC with tracheal invasion. Macroscopically, in cases where invasion into the trachea has not reached the tracheal mucosa surface, we perform tracheal surface resection (tracheal shaving). We retrospectively investigated rates of local control, metastasis and survival in patients who had undergone tracheal shaving. Subjects comprised 22 patients with PTC who underwent tracheal shaving between January 1994 and December 2005. Local control was achieved in 21 patients (95%), and metastasis was seen in 6 patients (27%). With two patients dying from causes other than cancer, 5- and 10-year survival rates were 93% and 41%, respectively. The two survivi...Continue Reading

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Citations

Nov 4, 2011·Current Opinion in Oncology·Natalya Chernichenko, Ashok R Shaha
Feb 26, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Iain J NixonMichael R Tuttle
Mar 20, 2015·Annals of Surgical Oncology·Sueyoshi Moritani
Jul 6, 2014·Clinical Endocrinology·Petros PerrosUNKNOWN British Thyroid Association
Jun 21, 2013·Head & Neck·Dana M HartlMartin Schlumberger
Aug 3, 2016·Thyroid : Official Journal of the American Thyroid Association·Iain J NixonAlfio Ferlito
Oct 18, 2016·International Journal of Surgical Oncology·Rajan P DangKrzysztof J Misiukiewicz
Mar 25, 2020·Indian Journal of Surgical Oncology·Vikas GuptaT Subramanyeshwar Rao
Mar 7, 2021·Cancers·Fumihiko Matsumoto, Katsuhisa Ikeda
May 24, 2021·World Journal of Surgery·Anton WarshavskyGilad Horowitz

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