[Radical interventions in the treatment of thyroid carcinoma].
From 1970 to 1993, 196 patients with thyroid cancer were treated surgically. In 26 (13.2%) an invasion of local and regional structures was observed. Eighteen patients had papillary or follicular carcinoma and 9 anaplastic carcinoma. Tracheal invasion occurred in 11 cases and 7 patients underwent total thyroidectomy, segmental resection of the trachea (1-5 rings) and reanastomosis, associated preoperatively in 2 cases with Nd:YAG laser photocoagulation. Six of thirteen patients with muscle invasion are alive at 2-16 years follow-up; 3 patients with tracheal invasion died in less than 6 months and the others seem to be free of disease 6-14 years after operation.
D'Amico
D F
DF
Istituto di Clinica Chirurgica I, Università degli Studi di Padova.
Favia
G
G
Lumachi
F
F
D018263:Adenocarcinoma, Follicular / Q000401:mortality / Q000473:pathology / Q000601:surgery; D000328:Adult; D000368:Aged; D001999:Bronchoscopy; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D018276:Carcinoma, Medullary / Q000401:mortality / Q000473:pathology / Q000601:surgery; D002291:Carcinoma, Papillary / Q000401:mortality / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D017075:Laser Coagulation; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011300:Preoperative Care; D013964:Thyroid Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy; D013997:Time Factors; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery
Interventi allargati nel trattamento del carcinoma tiroideo.