Ishihara T, Kikuchi K, Ikeda T, Inoue H, Fukai S, Ito K, Mimura T
Thorax. 1978 Jun;33(3):378-86. doi: 10.1136/thx.33.3.378.
We have treated surgically 11 patients with thyroid carcinoma that had infiltrated into the trachea. Three patients had primary tumours, and eight had recurrent tumours after previous operations. Sleeve resection of trachea was performed where thyroid carcinoma had proliferated; the trachea was reconstructed by end-to-end anastomosis. In two patients 10 rings of the trachea were resected. In three patients the anterior half of the cricoid cartilage was resected along with the cervical trachea. In one patient tracheoplasty was performed using partial extracorporeal circulation because severe tracheal stenosis prevented endotracheal intubation. Two of the 11 patients died from the surgery and one from disseminated metastases. One patient who had undergone tracheal resection for thyroid carcinoma three years and five months previously had a recurrence of the tumour in the trachea adjacent to the anastomosis, and a second tracheal resection was performed. In three patients postoperative laryngeal stenosis occurred. Five patients are alive and well two years and one month to four years and seven months after their operations. The histological pattern of the tumour was papillary adenocarcinoma in all 11 patients.
我们对11例浸润至气管的甲状腺癌患者进行了手术治疗。3例为原发性肿瘤，8例为既往手术后复发的肿瘤。在甲状腺癌增生部位进行气管袖状切除术；通过端端吻合重建气管。2例患者切除了10个气管环。3例患者切除了环状软骨前半部分及颈段气管。1例患者因严重气管狭窄无法进行气管插管，采用部分体外循环进行气管成形术。11例患者中有2例死于手术，1例死于广泛转移。1例3年5个月前因甲状腺癌行气管切除的患者，在吻合口附近的气管复发肿瘤，再次进行了气管切除。3例患者术后发生喉狭窄。5例患者术后2年1个月至4年7个月健在。11例患者肿瘤的组织学类型均为乳头状腺癌。
