Multidisciplinary diagnosis and treatment of advanced thyroid carcinoma invading common carotid artery

Abstract

Objective To investigate the application of carotid artery resection and reconstruction in surgical management of thyroid carcinoma with carotid artery involvement. Methods We conducted a retrospective cohort study involving 10 patients whose common carotid arteries were invaded by thyroid carcinoma. All patients underwent tumor en bloc resection and carotid arteries reconstruction. Patients were evaluated by multidisciplinary team and surgeries were cooperated by general surgeons, orthopedists and vascular surgeons. The perioperative complications and surgical outcomes were also recorded and analyzed. Results No patient had complications of central nervous system. One patient suffered Horner syndrome and one presented hoarseness postoperative. Two patients had wound infection, two patients presented carcinoma recurrence and two patients presented distant metastasis during the follow-up. Conclusion En bloc resection of tumor and carotid artery reconstruction is a feasible modality in treatment of thyroid carcinoma with carotid artery invasion. Key words: Thyroid carcinoma; Common carotid artery; Carotid artery reconstruction; Multidisciplinary team