Yang Rong, Yu Xiongfei, Ma Liang, Wu Fusheng
Departments of Surgical Oncology and.
Oncol Lett. 2012 Oct;4(4):771-774. doi: 10.3892/ol.2012.827. Epub 2012 Jul 26.
We present a case of a life-threatening almost complete airway obstruction resulting from poorly differentiated thyroid carcinoma in a 48-year-old male. Airway obstruction may lead to unexpected mortality by suffocation and patients with poorly differentiated thyroid carcinoma usually have a fast deterioration and fatal outcome. In the case presented, we describe a safe and effective treatment strategy. Assisted by femoro-femoral cardiopulmonary bypass oxygenation, a tracheal stent was implanted successfully. Following surgery there were no complications, and chemoradiotherapy resulted in the relief of obstructing symptoms and improved the quality of life of the patient. This case indicates that femoro-femoral cardiopulmonary bypass provides adequate oxygen support to undergo further management and that tracheal stent implant is an effective emergent measure to relieve severe airway obstruction in patients with poorly differentiated thyroid carcinoma.
我们报告了一例48岁男性因低分化甲状腺癌导致危及生命的几乎完全气道梗阻的病例。气道梗阻可能因窒息导致意外死亡，而低分化甲状腺癌患者通常病情迅速恶化并导致致命后果。在本病例中，我们描述了一种安全有效的治疗策略。在股-股体外循环氧合辅助下，成功植入了气管支架。术后无并发症，放化疗缓解了梗阻症状，改善了患者生活质量。该病例表明，股-股体外循环可为进一步治疗提供充足的氧支持，气管支架植入是缓解低分化甲状腺癌患者严重气道梗阻的有效紧急措施。
