Betkowski A, Pogorzelski A, Cyran-Rymarz A
Oddział Otorynolaryngologiczny Wojewódzkiego Szpitala Specjalistycznego w Rzeszowie.
Otolaryngol Pol. 2001;55(1):99-102.
From 1992 to 1999, 58 thyroid gland operations (41 female and 17 male) were performed in ENT Department of the District Hospital in Rzeszów. In 14 (21.4%) cases (9 female and 5 male) thyroid surgery was done for malignant disorders: papillary carcinoma in 11 (79%) patients, follicular carcinoma in 2 patients and medullary carcinoma in 1 patient. There were neck metastases in 9/14 (64.4%) patients. In 3 cases with papillary carcinoma (all with neck metastases) aerodigestive tract was invaded. One patient had neoplasmatic invasion of the larynx and trachea, one patient had invasion of larynx et pharynx and in one patient tumour invaded the esophageal wall. In those patients radical surgery was done: total thyroidectomy with total laryngectomy and radical neck dissection (2 patients) and subtotal thyroidectomy with conservative neck dissection (1 patient). External beam irradiation and radioactive iodine 131 treatment followed surgery. Two patients are still alive 6 years after the treatment free of disease, and 1 patient died of unrelated causes 3 months after the surgery. Symptoms, diagnostic evaluation and treatment of thyroid papillary carcinoma invading the aerodigestive tract are detailed in paper.
1992年至1999年期间，热舒夫地区医院耳鼻喉科进行了58例甲状腺手术（41例女性，17例男性）。其中14例（21.4%）（9例女性，5例男性）因恶性疾病接受甲状腺手术：11例（79%）患者为乳头状癌，2例为滤泡状癌，1例为髓样癌。9/14（64.4%）患者出现颈部转移。3例乳头状癌患者（均有颈部转移）出现气道消化道侵犯。1例患者肿瘤侵犯喉和气管，1例患者侵犯喉和咽，1例患者肿瘤侵犯食管壁。对这些患者进行了根治性手术：2例患者行全甲状腺切除加全喉切除及根治性颈清扫术，1例患者行次全甲状腺切除加保守性颈清扫术。术后进行了外照射和放射性碘131治疗。2例患者治疗后6年仍无病存活，1例患者术后3个月死于无关原因。本文详细介绍了侵犯气道消化道的甲状腺乳头状癌的症状、诊断评估及治疗。
