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Surgical approach to recurrent papillary thyroid carcinoma involving the larynx: a case report

Year 2008, Volume: 18 Issue: 4, 246 - 249, 30.08.2008

Abstract

A 54-year-old male patient presented with a complaint of a mass in the anterior aspect of the neck of three-month duration. He had a history of total and near total thyroidectomy in the right and left lobes, respectively, and right modified radical neck dissection at another center 12 months before. Physical examination showed a laryngeal mass, 4x5 cm in size, in the midline of the neck, and bilateral and multiple lymphadenopathies. Fiberoptic laryngoscopy showed a lobular contour mass filling the laryngeal lumen and involving the anterior commissure and a fixed right vocal cord. Biopsy result of the lesion was consistent with papillary carcinoma of the thyroid. The patient underwent total laryngectomy and bilateral neck dissection followed by reconstruction with the pectoralis major myocutaneous flap. Histopathologic examination showed laryngeal infiltration of the recurrent papillary thyroid carcinoma. Postoperative radioiodine I-131 therapy was administered. No recurrences or distant metastasis were detected within a follow-up period of 10 months.

References

  • Vigliardi G, Caranci E, Mancini R, Berardi S. Papillary carcinoma of the thyroid: our experience. Suppl Tumori 2005;4:S152-4. [Abstract]
  • Silver CE, Kim HH. Tiroid cerrahisi. (Silver CE, Rubin JS, editors. Atlas of head and neck surgery.) Baş ve boyun cerrahisi atlası. Çeviri editörleri: Şenocak D, Erem M. 2. baskı. İstanbul: Nobel Tıp Kitabevleri; 1999. s. 273-98.
  • Chen FJ, Li QL, Zeng ZY, Song M, Yang AK, Zhang Q. Surgical treatment of differentiated thyroid carcinoma and analysis of recurrence-related factors. Ai Zheng 2004;23:1311-6. [Abstract]
  • Wu GH, Li H, Chen FJ, Zeng ZY, Chen WK, Peng HW, et al. Surgical treatment of well-differentiated thyroid carcinoma invading trachea: a report of 15 cases. Ai Zheng 2004;23(11 Suppl):1498-501. [Abstract]
  • Ballantyne AJ. Resections of the upper aerodigestive tract for locally invasive thyroid cancer. Am J Surg 1994;168:636-9.
  • Miloundja J, Lescanne E, Ouedraogo B, Pondaven S, Beutter P, Moriniere S. Differenciated thyroid carcino- mas with laryngo-tracheal invasion. Ann Otolaryngol Chir Cervicofac 2006;123:34-40. [Abstract]
  • Altamore S, Basile G, Santanocito G, Mangiameli A. Conservative surgical treatment in differentiated thy- roid carcinoma. Minerva Chir 1999;54:139-41. [Abstract]
  • Aydoğan B, Tuncer Ü, Soylu L. Tiroid ve paratiroid kanserleri. In: Baş-boyun kanserleri. Engin K, Erişen L, editörler. Bursa: Nobel Tıp Kitabevleri; 2003. s. 503-44.
  • Randolph GW. Tiroid ve paratiroid bezlerin cerra- hisi. (In: Montgomery WW, editor. Surgery of the larynx, trachea, esophagus and neck.) Larinks, trakea, özofagus ve boyun cerrahisi. Çeviri editörü: Kaleli Ç. İstanbul: Nobel Tıp Kitabevleri; 2004. s. 388-409.
  • Peretti G, Piazza C, Giudice M, Nicolai P, Antonelli AR. Laryngeal-tracheal resection in the treatment of thyroid malignancies: description of a case and review of litera- ture. Acta Otorhinolaryngol Ital 2001;21:54-9. [Abstract]
  • Datta D, Lahiri B. Recurrent thyroid carcinoma present- ing as an endotracheal nodule. Conn Med 2002;66:585-7.
  • Bayles SW, Kingdom TT, Carlson GW. Management of thyroid carcinoma invading the aerodigestive tract. Laryngoscope 1998;108:1402-7.
  • Talpos GB. Tracheal and laryngeal resections for dif- ferentiated thyroid cancer. Am Surg 1999;65:754-9.
  • Shelton VK, Skolnik EM, Berlinger FG, Arab M. Laryngotracheal invasion by thyroid-carcinoma. Ann Otol Rhinol Laryngol 1982;91:363-9.
  • Friedman M. Surgical management of thyroid carci- noma with laryngotracheal invasion. Otolaryngol Clin North Am 1990;23:495-507.
  • Lifante JC, Mancini F, Mithieux F, Berger N, Latreche A, Peix JL. Results of tracheal or esophageal resec- tions in invasive thyroid carcinomas. Ann Chir 2001; 126:236-41. [Abstract]
  • Blandino R, Puzzo L, Pistritto A, Grasso A, Ferreri E, Messina D, et al. Tracheal resection-anastomosis in carcinoma of the thyroid infiltrating the airways. A case report. G Chir 1995;16:97-9. [Abstract].

Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu

Year 2008, Volume: 18 Issue: 4, 246 - 249, 30.08.2008

Abstract

Elli dört yaşında erkek hasta, boyun ön tarafında üç aydır var olan şişlik yakınması ile başvurdu. Hastaya 12 ay önce tiroid papiller karsinomu nedeniyle başka bir merkezde sağ total, sol totale yakın tiroidektomi ve sağ tarafa modifiye radikal boyun diseksiyonu yapılmıştı. Hastanın muayenesinde, boyun orta hatta yaklaşık 4x5 cm çapında ve larenkse fikse bir kitle ve iki taraflı multipl lenfadenopatiler görüldü. Fiberoptik direkt larengoskopik incelemede, larenks lümenini dolduran, ön komissürü tutan lobule konturlu bir kitle ve sağ kord vokalin fikse olduğu görüldü. Yapılan biyopside tiroid papiller karsinom ile uyumlu histopa- tolojik bulgular saptandı. Larenks invazyonu göste- ren nüks tiroid papiller karsinomu nedeniyle hastaya total larenjektomi, iki taraflı boyun diseksiyonu ve pektoralis majör miyokutanöz flebi ile rekonstrüksi- yon yapıldı. Histopatolojik incelemede, nüks papiller karsinomun larenkse infiltre olduğu görüldü. Cerrahi sonrasında I-131 tedavisi gören hastanın 10 aylık takibinde herhangi bir nüks ya da uzak metastaz saptanmadı

References

  • Vigliardi G, Caranci E, Mancini R, Berardi S. Papillary carcinoma of the thyroid: our experience. Suppl Tumori 2005;4:S152-4. [Abstract]
  • Silver CE, Kim HH. Tiroid cerrahisi. (Silver CE, Rubin JS, editors. Atlas of head and neck surgery.) Baş ve boyun cerrahisi atlası. Çeviri editörleri: Şenocak D, Erem M. 2. baskı. İstanbul: Nobel Tıp Kitabevleri; 1999. s. 273-98.
  • Chen FJ, Li QL, Zeng ZY, Song M, Yang AK, Zhang Q. Surgical treatment of differentiated thyroid carcinoma and analysis of recurrence-related factors. Ai Zheng 2004;23:1311-6. [Abstract]
  • Wu GH, Li H, Chen FJ, Zeng ZY, Chen WK, Peng HW, et al. Surgical treatment of well-differentiated thyroid carcinoma invading trachea: a report of 15 cases. Ai Zheng 2004;23(11 Suppl):1498-501. [Abstract]
  • Ballantyne AJ. Resections of the upper aerodigestive tract for locally invasive thyroid cancer. Am J Surg 1994;168:636-9.
  • Miloundja J, Lescanne E, Ouedraogo B, Pondaven S, Beutter P, Moriniere S. Differenciated thyroid carcino- mas with laryngo-tracheal invasion. Ann Otolaryngol Chir Cervicofac 2006;123:34-40. [Abstract]
  • Altamore S, Basile G, Santanocito G, Mangiameli A. Conservative surgical treatment in differentiated thy- roid carcinoma. Minerva Chir 1999;54:139-41. [Abstract]
  • Aydoğan B, Tuncer Ü, Soylu L. Tiroid ve paratiroid kanserleri. In: Baş-boyun kanserleri. Engin K, Erişen L, editörler. Bursa: Nobel Tıp Kitabevleri; 2003. s. 503-44.
  • Randolph GW. Tiroid ve paratiroid bezlerin cerra- hisi. (In: Montgomery WW, editor. Surgery of the larynx, trachea, esophagus and neck.) Larinks, trakea, özofagus ve boyun cerrahisi. Çeviri editörü: Kaleli Ç. İstanbul: Nobel Tıp Kitabevleri; 2004. s. 388-409.
  • Peretti G, Piazza C, Giudice M, Nicolai P, Antonelli AR. Laryngeal-tracheal resection in the treatment of thyroid malignancies: description of a case and review of litera- ture. Acta Otorhinolaryngol Ital 2001;21:54-9. [Abstract]
  • Datta D, Lahiri B. Recurrent thyroid carcinoma present- ing as an endotracheal nodule. Conn Med 2002;66:585-7.
  • Bayles SW, Kingdom TT, Carlson GW. Management of thyroid carcinoma invading the aerodigestive tract. Laryngoscope 1998;108:1402-7.
  • Talpos GB. Tracheal and laryngeal resections for dif- ferentiated thyroid cancer. Am Surg 1999;65:754-9.
  • Shelton VK, Skolnik EM, Berlinger FG, Arab M. Laryngotracheal invasion by thyroid-carcinoma. Ann Otol Rhinol Laryngol 1982;91:363-9.
  • Friedman M. Surgical management of thyroid carci- noma with laryngotracheal invasion. Otolaryngol Clin North Am 1990;23:495-507.
  • Lifante JC, Mancini F, Mithieux F, Berger N, Latreche A, Peix JL. Results of tracheal or esophageal resec- tions in invasive thyroid carcinomas. Ann Chir 2001; 126:236-41. [Abstract]
  • Blandino R, Puzzo L, Pistritto A, Grasso A, Ferreri E, Messina D, et al. Tracheal resection-anastomosis in carcinoma of the thyroid infiltrating the airways. A case report. G Chir 1995;16:97-9. [Abstract].
There are 17 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Ercan Akbay This is me

Publication Date August 30, 2008
Published in Issue Year 2008 Volume: 18 Issue: 4

Cite

APA Akbay, E. (2008). Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu. The Turkish Journal of Ear Nose and Throat, 18(4), 246-249.
AMA Akbay E. Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu. Tr-ENT. August 2008;18(4):246-249.
Chicago Akbay, Ercan. “Larenkse yayılan nüks Tiroid Papiller Karsinomuna Cerrahi yaklaşım: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 18, no. 4 (August 2008): 246-49.
EndNote Akbay E (August 1, 2008) Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu. The Turkish Journal of Ear Nose and Throat 18 4 246–249.
IEEE E. Akbay, “Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu”, Tr-ENT, vol. 18, no. 4, pp. 246–249, 2008.
ISNAD Akbay, Ercan. “Larenkse yayılan nüks Tiroid Papiller Karsinomuna Cerrahi yaklaşım: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 18/4 (August 2008), 246-249.
JAMA Akbay E. Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu. Tr-ENT. 2008;18:246–249.
MLA Akbay, Ercan. “Larenkse yayılan nüks Tiroid Papiller Karsinomuna Cerrahi yaklaşım: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat, vol. 18, no. 4, 2008, pp. 246-9.
Vancouver Akbay E. Larenkse yayılan nüks tiroid papiller karsinomuna cerrahi yaklaşım: Olgu sunumu. Tr-ENT. 2008;18(4):246-9.