Successful Treatment of Tracheal Invasion Caused by Thyroid Cancer Using Endotracheal Tube Balloon Inflation under Flexible Bronchoscopic Guidance.
10.4046/trd.2014.77.5.215
- Author:
Yang Hee HAN
1
;
Bock Hyun JUNG
;
Jun Sung KWON
;
Jaemin LIM
Author Information
1. Department of Internal Medicine, Gangneung Asan Hospital, Gangneung, Korea. drjaemin@gmail.com
- Publication Type:Case Report
- Keywords:
Thyroid Neoplasms;
Trachea;
Bronchoscopy;
Aged;
Neoplasm Invasiveness;
Endotracheal Intubation
- MeSH:
Aged, 80 and over;
Airway Obstruction;
Anesthesia, General;
Argon Plasma Coagulation;
Bronchoscopes;
Bronchoscopy;
Dilatation;
Disulfiram;
Dyspnea;
Female;
Humans;
Inflation, Economic*;
Intubation, Intratracheal;
Neoplasm Invasiveness;
Respiratory Insufficiency;
Stents;
Thyroid Neoplasms*;
Trachea;
Vocal Cords
- From:Tuberculosis and Respiratory Diseases
2014;77(5):215-218
- CountryRepublic of Korea
- Language:English
-
Abstract:
Tracheal invasion is an uncommon complication of thyroid cancer, but it can cause respiratory failure. A rigid bronchoscope may be used to help relieve airway obstruction, but general anesthesia is usually required. Tracheal balloon dilatation and stent insertion can be performed without general anesthesia, but complete airway obstruction during balloon inflation may be dangerous in some patients. Additionally, placement of the stent adjacent to the vocal cords can be technically challenging. An 86-year-old female patient with tracheal invasion resulting from thyroid cancer was admitted to our hospital because of worsening dyspnea. Due to the patient's refusal of general anesthesia and the interventional radiologist's difficulty in completing endotracheal stenting, we performed endotracheal tube balloon dilatation and argon plasma coagulation. We have successfully treated tracheal obstruction in the patient with thyroid cancer by using endotracheal tube balloon inflation and a flexible bronchoscope without general anesthesia or airway obstruction during balloon inflation.
