Zhang Weidong, Dai Lei, Yu Kejie, Wang Yingchun, Le Qi, Wu Xianjiang
Department of Thyroid Surgery, Ningbo No. 2 Hospital, Ningbo, Zhejiang 315010, P.R. China.
Oncol Lett. 2023 Feb 2;25(3):104. doi: 10.3892/ol.2023.13689. eCollection 2023 Mar.
The present study reports the case of a 64-year-old patient with papillary thyroid cancer (PTC) and tracheal invasion, along with primary lung cancer. Firstly, the patient received tumor electrocautery under tracheoscopy to enlarge the space for tracheal intubation. Next, the patient received one-stage radical thyroidectomy, with window resection of the trachea and thoracoscopic radical resection of the lung cancer. The patient was discharged safely after several days of therapy. To the best of our knowledge, this case is the first reported case of a one-stage radical thyroidectomy with a window resection of the trachea and thoracoscopic radical resection of the lung cancer in the literature. Simultaneous surgery for PTC with tracheal invasion and lung cancer is a great challenge for the patient and the surgeon. Appropriate surgical management of the tracheal invasion is of great importance to the operation and prognosis. This case may provide reference for surgeons in similar situations.
本研究报告了一例64岁患有乳头状甲状腺癌(PTC)并伴有气管侵犯以及原发性肺癌的患者。首先,患者在气管镜检查下接受肿瘤电灼术以扩大气管插管空间。接下来,患者接受了一期根治性甲状腺切除术,同时进行气管开窗切除术和肺癌胸腔镜根治性切除术。经过几天的治疗,患者安全出院。据我们所知,该病例是文献中首例报道的一期根治性甲状腺切除术联合气管开窗切除术及肺癌胸腔镜根治性切除术的病例。对于伴有气管侵犯的PTC和肺癌同时进行手术,对患者和外科医生来说都是巨大的挑战。对气管侵犯进行适当的手术处理对手术及预后至关重要。该病例可为处于类似情况的外科医生提供参考。