Successful Treatment of Thyroid Carcinoma Invading the Trachea as a Single-Stage Procedure: A Case Report

作     者：Kazuhira Endo Takayoshi Ueno Satoru Kondo Naohiro Wakisaka Shigeyuki Murono Tomokazu Yoshizaki 

作者机构：Division of Otolaryngology Graduate School of Medicine Kanazawa University Kanazawa Japan 

出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)

年 卷 期：2015年第4卷第2期

页      面：50-54页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Thyroid Carcinoma Tracheal Reconstruction Auricular Cartilage Sternohyoid Muscle Window Resection 

摘      要：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.