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.
Highlights
Well-differentiated thyroid carcinoma tends to be potentially curable and has an excellent overall prognosis, with a 10-year survival rate of over 80%
Surgical resection still remains the mainstay of treatment for locally invasive thyroid carcinoma
We present a patient with advanced thyroid carcinoma involving the trachea, who was treated by total thyroidectomy and window resection of the trachea
Summary
Well-differentiated thyroid carcinoma tends to be potentially curable and has an excellent overall prognosis, with a 10-year survival rate of over 80%. (2015) Successful Treatment of Thyroid Carcinoma Invading the Trachea as a Single-Stage Procedure: A Case Report. The commonly involved structures in cases of invasive thyroid carcinoma are the strap muscles, recurrent laryngeal nerve, trachea, esophagus, larynx, and other sites [2] [3]. Invasion of the surrounding structures is considered to be associated with an increased incidence of local recurrence, regional spread and distant metastasis, and a reduced survival rate [3]. It is crucial to control local invasion in cases of thyroid carcinoma, which makes treatment relatively difficult. Surgical resection still remains the mainstay of treatment for locally invasive thyroid carcinoma. We present a patient with advanced thyroid carcinoma involving the trachea, who was treated by total thyroidectomy and window resection of the trachea. The trachea was reconstructed with a free auricular cartilage graft and the sternohyoid muscles of both sides in a single-stage operation
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