Nakao K, Miyata M, Izukura M, Monden Y, Maeda M, Kawashima Y
Arch Surg. 1984 Sep;119(9):1046-9. doi: 10.1001/archsurg.1984.01390210050011.
We report 12 cases of well-differentiated thyroid carcinoma that invaded the trachea. In all of these cases, we performed a hemithyroidectomy, including the isthmus, with an accompanying neck dissection and resection of the trachea. Six of 12 patients experienced hemoptysis, and a diagnosis of tracheal invasion was made preoperatively in nine patients by tracheal endoscopy and computed tomography. Histologic diagnosis was confirmed by a preoperative biopsy in one case only. An end-to-end anastomosis of the trachea was performed in five patients, an anastomosis between the cricoid cartilage and the trachea was performed in five patients, and an anastomosis between the thyroid cartilage and the trachea was performed in two patients. One patient with a recurrence of tumor died of tracheal bleeding 11/2 years later. One patient died of massive gastrointestinal bleeding postoperatively. The remaining ten patients have been doing well from three months to five years two months postoperatively.
我们报告了12例侵犯气管的高分化甲状腺癌病例。在所有这些病例中，我们均进行了包括峡部的甲状腺半切除术，并同时进行颈部清扫和气管切除术。12例患者中有6例出现咯血，9例患者术前通过气管内镜检查和计算机断层扫描诊断为气管侵犯。仅1例患者术前活检确诊组织学诊断。5例患者进行了气管端端吻合术，5例患者进行了环状软骨与气管的吻合术，2例患者进行了甲状软骨与气管的吻合术。1例肿瘤复发患者在1年半后死于气管出血。1例患者术后死于大量胃肠道出血。其余10例患者术后3个月至5年2个月情况良好。
