Successful Treatment of Thyroid Carcinoma Invading the Trachea as a Single-Stage Procedure: A Case Report
Author(s)
Kazuhira Endo*,
Takayoshi Ueno,
Satoru Kondo,
Naohiro Wakisaka,
Shigeyuki Murono,
Tomokazu Yoshizaki
Affiliation(s)
Division of Otolaryngology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
Division of Otolaryngology, Graduate School of Medicine, Kanazawa University, Kanazawa, Japan.
ABSTRACT
Objective: Locally advanced thyroid carcinoma is relatively rare; extrathyroid extension, such as to the trachea, is one of the most important prognostic factors. Surgical resection is the mainstay of treatment, and appropriate surgical planning is crucial for obtaining a reasonable prognosis and quality of life of the patients. Case Report: Herein, we report a case of advanced thyroid carcinoma involving the trachea. Total thyroidectomy and window resection of the trachea were performed. The tracheal defect was approximately 2.5 × 3.0 cm in size, extending from the first to the third tracheal cartilage, and was reconstructed with auricular cartilage and covered with the sternohyoid muscles of both sides in a single-stage surgical procedure. The tracheal stoma was closed 2 weeks after the surgery. There were no postoperative complications. Conclusion: This reconstruction of the relatively small defect of the trachea provided excellent functional and cosmetic results.
KEYWORDS
Thyroid Carcinoma, Tracheal Reconstruction, Auricular Cartilage, Sternohyoid Muscle, Window Resection
Thyroid Carcinoma, Tracheal Reconstruction, Auricular Cartilage, Sternohyoid Muscle, Window Resection
Cite this paper
Endo, K. , Ueno, T. , Kondo, S. , Wakisaka, N. , Murono, S. and Yoshizaki, T. (2015) Successful Treatment of Thyroid Carcinoma Invading the Trachea as a Single-Stage Procedure: A Case Report. Case Reports in Clinical Medicine, 4, 50-54. doi: 10.4236/crcm.2015.42012.
Endo, K. , Ueno, T. , Kondo, S. , Wakisaka, N. , Murono, S. and Yoshizaki, T. (2015) Successful Treatment of Thyroid Carcinoma Invading the Trachea as a Single-Stage Procedure: A Case Report. Case Reports in Clinical Medicine, 4, 50-54. doi: 10.4236/crcm.2015.42012.
References
[1] Cody III, H.S. and Shah, J.P. (1981) Locally Invasive, Well-Differentiated Thyroid Cancer. 22 Years’ Experience at Memorial Sloan-Kettering Cancer Center. American Journal of Surgery, 142, 480-483.
http://dx.doi.org/10.1016/0002-9610(81)90379-2 [2] An, S.Y. and Kim, K.H. (2010) Surgical Management of Locally Advanced Thyroid Cancer. Current Opinion in Otolaryngology Head and Neck Surgery, 18, 119-123.
http://dx.doi.org/10.1097/MOO.0b013e3283374d84 [3] Andersen, P.E., Kinsella, J., Loree, T.R., Shaha, A.R. and Shah, J.P. (1995) Differentiated Carcinoma of the Thyroid with Extrathyroidal Extension. American Journal of Surgery, 170, 467-470.
http://dx.doi.org/10.1016/S0002-9610(99)80331-6 [4] Nakao, K., Kurozumi, K., Fukushima, S., Nakahara, M., Tsujimoto, M. and Nishida, T. (2001) Merits and Demerits of Operative Procedure to the Trachea in Patients with Differentiated Thyroid Cancer. World Journal of Surgery, 25, 723-727. http://dx.doi.org/10.1007/s00268-001-0022-7 [5] Ishihara, T., Kobayashi, K., Kikuchi, K., Kato, R., Kawamura, M. and Ito, K. (1991) Surgical Treatment of Advanced Thyroid Carcinoma Invading the Trachea. Journal of Thoracic and Cardiovascular Surgery, 102, 717-720. [6] Hammoud, Z.T. and Mathisen, D.J. (2003) Surgical Management of Thyroid Carcinoma Invading the Trachea. Chest Surgery Clinics of North America, 13, 359-367.
http://dx.doi.org/10.1016/S1052-3359(03)00018-8 [7] Shin, D.H., Mark, E.J., Suen, H.C. and Grillo, H.C. (1993) Pathologic Staging of Papillary Carcinoma of the Thyroid with Airway Invasion Based on the Anatomic Manner of Extension to the Trachea: A Clinicopathologic Study Based on 22 Patients Who Underwent Thyroidectomy and Airway Resection. Human Pathology, 24, 866-870.
http://dx.doi.org/10.1016/0046-8177(93)90136-5 [8] McCaffrey, T.V. and Lipton, R.J. (1990) Thyroid Carcinoma Invading the Upper Aerodigestive System. Laryngoscope, 100, 824-830. http://dx.doi.org/10.1288/00005537-199008000-00006 [9] McCarty, T.M., Kuhn, J.A., Williams Jr., W.L., Ellenhorn, J.D., O’Brien, J.C., Preskitt, J.T., Lieberman, Z.H., Stephens, J., Odom-Maryon, T., Clarke, K.G. and Wagman, L.D. (1997) Surgical Management of Thyroid Cancer Invading the Airway. Annals of Surgical Oncology, 4, 403-408.
http://dx.doi.org/10.1007/BF02305553 [10] Lawson, V.G. (1983) The Management of Airway Involvement in Thyroid Tumors. Archives of Otolaryngology, 109, 86-90. http://dx.doi.org/10.1001/archotol.1983.00800160020005 [11] Ebihara, M., Kishimoto, S., Hayashi, R., Miyazaki, M., Shinozaki, T., Daiko, H., Saikawa, M., Sakuraba, M. and Miyamoto, S. (2011) Window Resection of the Trachea and Secondary Reconstruction for Invasion by Differentiated Thyroid Carcinoma. Auris Nasus Larynx, 38, 271-275.
http://dx.doi.org/10.1016/j.anl.2010.09.003 [12] Nakahira, M., Nakatani, H., Takeuchi, S., Higashiyama, K. and Fukushima, K. (2006) Safe Reconstruction of a Large Cervico-Mediastinal Tracheal Defect with a Pectoralis Major Myocutaneous Flap and Free Costal Cartilage Grafts. Auris Nasus Larynx, 33, 203-206.
http://dx.doi.org/10.1016/j.anl.2005.09.009 [13] Sugenoya, A., Matsuo, K., Asanuma, K., Shingu, K., Shimizu, T., Masuda, H., Kobayashi, S. and Iida, F. (1995) Management of Tracheal Wall Resection for Thyroid Carcinoma by Tracheocutaneous Fenestration and Delayed Closure Using Auricular Cartilage. Head Neck, 17, 339-342. http://dx.doi.org/10.1002/hed.2880170411 [14] Asanuma, K., Itoh, N., Kobayashi, S. and Amano, J. (2000) The Long-Term Outcome of the Cartilage Free Graft to the Tracheal Defect. Head Neck, 22, 95-96.
http://dx.doi.org/10.1002/(SICI)1097-0347(200001)22:1<95::AID-HED15>3.0.CO;2-V
[1] Cody III, H.S. and Shah, J.P. (1981) Locally Invasive, Well-Differentiated Thyroid Cancer. 22 Years’ Experience at Memorial Sloan-Kettering Cancer Center. American Journal of Surgery, 142, 480-483.
http://dx.doi.org/10.1016/0002-9610(81)90379-2 [2] An, S.Y. and Kim, K.H. (2010) Surgical Management of Locally Advanced Thyroid Cancer. Current Opinion in Otolaryngology Head and Neck Surgery, 18, 119-123.
http://dx.doi.org/10.1097/MOO.0b013e3283374d84 [3] Andersen, P.E., Kinsella, J., Loree, T.R., Shaha, A.R. and Shah, J.P. (1995) Differentiated Carcinoma of the Thyroid with Extrathyroidal Extension. American Journal of Surgery, 170, 467-470.
http://dx.doi.org/10.1016/S0002-9610(99)80331-6 [4] Nakao, K., Kurozumi, K., Fukushima, S., Nakahara, M., Tsujimoto, M. and Nishida, T. (2001) Merits and Demerits of Operative Procedure to the Trachea in Patients with Differentiated Thyroid Cancer. World Journal of Surgery, 25, 723-727. http://dx.doi.org/10.1007/s00268-001-0022-7 [5] Ishihara, T., Kobayashi, K., Kikuchi, K., Kato, R., Kawamura, M. and Ito, K. (1991) Surgical Treatment of Advanced Thyroid Carcinoma Invading the Trachea. Journal of Thoracic and Cardiovascular Surgery, 102, 717-720. [6] Hammoud, Z.T. and Mathisen, D.J. (2003) Surgical Management of Thyroid Carcinoma Invading the Trachea. Chest Surgery Clinics of North America, 13, 359-367.
http://dx.doi.org/10.1016/S1052-3359(03)00018-8 [7] Shin, D.H., Mark, E.J., Suen, H.C. and Grillo, H.C. (1993) Pathologic Staging of Papillary Carcinoma of the Thyroid with Airway Invasion Based on the Anatomic Manner of Extension to the Trachea: A Clinicopathologic Study Based on 22 Patients Who Underwent Thyroidectomy and Airway Resection. Human Pathology, 24, 866-870.
http://dx.doi.org/10.1016/0046-8177(93)90136-5 [8] McCaffrey, T.V. and Lipton, R.J. (1990) Thyroid Carcinoma Invading the Upper Aerodigestive System. Laryngoscope, 100, 824-830. http://dx.doi.org/10.1288/00005537-199008000-00006 [9] McCarty, T.M., Kuhn, J.A., Williams Jr., W.L., Ellenhorn, J.D., O’Brien, J.C., Preskitt, J.T., Lieberman, Z.H., Stephens, J., Odom-Maryon, T., Clarke, K.G. and Wagman, L.D. (1997) Surgical Management of Thyroid Cancer Invading the Airway. Annals of Surgical Oncology, 4, 403-408.
http://dx.doi.org/10.1007/BF02305553 [10] Lawson, V.G. (1983) The Management of Airway Involvement in Thyroid Tumors. Archives of Otolaryngology, 109, 86-90. http://dx.doi.org/10.1001/archotol.1983.00800160020005 [11] Ebihara, M., Kishimoto, S., Hayashi, R., Miyazaki, M., Shinozaki, T., Daiko, H., Saikawa, M., Sakuraba, M. and Miyamoto, S. (2011) Window Resection of the Trachea and Secondary Reconstruction for Invasion by Differentiated Thyroid Carcinoma. Auris Nasus Larynx, 38, 271-275.
http://dx.doi.org/10.1016/j.anl.2010.09.003 [12] Nakahira, M., Nakatani, H., Takeuchi, S., Higashiyama, K. and Fukushima, K. (2006) Safe Reconstruction of a Large Cervico-Mediastinal Tracheal Defect with a Pectoralis Major Myocutaneous Flap and Free Costal Cartilage Grafts. Auris Nasus Larynx, 33, 203-206.
http://dx.doi.org/10.1016/j.anl.2005.09.009 [13] Sugenoya, A., Matsuo, K., Asanuma, K., Shingu, K., Shimizu, T., Masuda, H., Kobayashi, S. and Iida, F. (1995) Management of Tracheal Wall Resection for Thyroid Carcinoma by Tracheocutaneous Fenestration and Delayed Closure Using Auricular Cartilage. Head Neck, 17, 339-342. http://dx.doi.org/10.1002/hed.2880170411 [14] Asanuma, K., Itoh, N., Kobayashi, S. and Amano, J. (2000) The Long-Term Outcome of the Cartilage Free Graft to the Tracheal Defect. Head Neck, 22, 95-96.
http://dx.doi.org/10.1002/(SICI)1097-0347(200001)22:1<95::AID-HED15>3.0.CO;2-V