A Case of Surgical Treatment for Advanced Papillary Thyroid Cancer with Tracheal Invasion
Abstract
Hamidreza Khorshidi, Sara Alipour, Ramin Mansouri, Kiana Kimiaei Asadi and Behrooz Goli
The trachea is in close to the thyroid gland and can be affected by thyroid cancer spreading beyond the gland. Tracheal invasion by invasive thyroid cancer is rare but life-threatening and important to manage. Hoarseness, hemoptysis, and respiratory distress have been reported in some patients with obvious tracheal invasion. The case we are presenting was a 69-year-old man with a papillary thyroid carcinoma (PTC) history and eight tracheal cartilages were affected by the malignancy. nevertheless, it was remarkable that in this case, seven centimeters of trachea was resected and then anastomosis was performed in intact area of trachea and the patient had no complaint. Then, anastomosis was performed in an intact area of the trachea. Surgery of PTC with tracheal invasion is challenging. Appropriate surgical management of tracheal invasion is important for the operation and prognosis. This demands a high level of proficiency and extreme care to avoid any damage to the trachea’s blood vessels.