Treatment strategy of thyroid cancer with trachea,larynx, and major vessels involvement
10.19538/j.cjps.issn1005-2208.2019.03.08
- Author:
Yi-ming ZHU
1
;
Shao-yan LIU
1
;
Zhen-gang XU
1
Author Information
1. Department of Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences,National Cancer Center Beijing 100021,China
- Publication Type:Journal Article
- Keywords:
differentiated thyroid cancer;
locally advanced thyroid cancer;
surgical treatment;
multidisciplinary treatment;
palliative treatment
- From:
Chinese Journal of Practical Surgery
2019;39(03):220-223
- CountryChina
- Language:Chinese
-
Abstract:
Surgical treatment of thyroid cancer with surrounding structures involved remains a challenge for physicians.Trachea and larynx are common affected organs,and complete resection can bring the greatest survival benefit.However,postoperative quality of life may be greatly affected.It is necessary to improve the quality of life of patients by stage Ⅰ or Ⅱ reconstruction. The case of papillary thyroid carcinoma invading the internal jugular vein or with internal jugular vein tumor thrombus can still be safely and completely removed.Some cases with carotid artery invasion could benefit from radical resection,in which case vascular reconstruction should be done simultaneously.Multidisciplinary treatment should be emphasized for the locally advanced cases. Postoperative radioactive iodine therapy,external beam radiotherapy,endocrine therapy should be considered to reduce local recurrence. For inoperable patients,participating a clinical trial or trying targeted therapy could be good choices. Patients with poor general condition may be given palliative care to alleviate the symptoms.
