Hammoud Zane T, Mathisen Douglas J
General Thoracic Surgery Unit, Massachusetts General Hospital, 32 Fruit Street, Blake 1570, Boston, MA 02114, USA.
Chest Surg Clin N Am. 2003 May;13(2):359-67. doi: 10.1016/s1052-3359(03)00018-8.
Airway invasion by thyroid carcinoma is an uncommon but important clinical problem. The surgical management of airway invasion is somewhat controversial, with some studies suggesting that conservative shave procedures might be adequate; however, the standardization and safety of techniques of airway resection and reconstruction have made en bloc surgery a reasonable approach for the management of such carcinomas. Tracheal resection and reconstruction for thyroid carcinomas with airway invasion might provide long-lasting palliation and might even be curative in a significant number of patients suffering from this disease.
甲状腺癌侵犯气道是一个罕见但重要的临床问题。气道侵犯的手术管理存在一定争议，一些研究表明保守的刮除手术可能就足够了；然而，气道切除和重建技术的标准化及安全性已使整块切除手术成为治疗此类癌症的合理方法。对侵犯气道的甲状腺癌进行气管切除和重建可能会带来持久的缓解，甚至可能治愈相当一部分患有这种疾病的患者。
