气管切开术在间变性甲状腺癌中的作用。
The Role of Tracheostomy in Anaplastic Thyroid Carcinoma.
作者信息
Xu Jia, Liao Zhen, Li Jing-Jia, Wu Xi-Fu, Zhuang Shi-Min
机构信息
Department of Otolaryngology-Head & Neck Surgery, The Third People Hospital of Dong Guan, Guangdong, 540600, China.
These authors contributed equally to this work.
出版信息
World J Oncol. 2015 Feb;6(1):262-264. doi: 10.14740/wjon899w. Epub 2015 Feb 14.
Even though management of thyroid cancer is generally standardized and has an overall excellent long-term outcome, anaplastic thyroid cancer (ATC) continues to be a major diagnostic and therapeutic challenge. ATC is an uncommon thyroid malignancy with a poor prognosis. American Thyroid Association guidelines acknowledge the complexity of airway management in these patients. We studied the literature with the aim of providing guidance in airway management in ATC. Tracheotomy can facilitate completion of palliative treatment in those patients with ATC and stridor. Given the short life expectancy of these patients, a balanced decision must be made regarding the role and timing of tracheotomy.
尽管甲状腺癌的管理通常是标准化的，并且总体长期预后良好，但间变性甲状腺癌（ATC）仍然是一个重大的诊断和治疗挑战。ATC是一种罕见的甲状腺恶性肿瘤，预后较差。美国甲状腺协会指南承认这些患者气道管理的复杂性。我们研究了相关文献，旨在为ATC的气道管理提供指导。气管切开术可以促进那些患有ATC和气促的患者完成姑息治疗。鉴于这些患者的预期寿命较短，必须就是否进行气管切开术及其时机做出权衡决策。
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