Abstract

ZUND, Santiago et al. Locally invasive papillary thyroid carcinoma with tracheal invasion: Oncological treatment and subsequent remote tracheoplasty due to tracheal anastomotic dehiscence. Rev. argent. endocrinol. metab. [online]. 2016, vol.53, n.2, pp.73-76. ISSN 1851-3034.

Introduction: The aim of surgery in well-differentiated thyroid cancer with tracheal invasion is to remove all the tumour while preserving functional structures. Clinical case: A 27 year old female presented with a thyroid mass with tracheal invasion on the computed tomography. She underwent total thyroidectomy, bilateral central compartment and selective II-V neck dissection, and tracheal resection with end-to-end anastomosis. She subsequently had anastomotic dehiscence, which required a tracheostomy. Tracheoplasty was later performed with good functional results. Discussion: Segmentary tracheal resection is the procedure of choice in differentiated thyroid cancer with local invasion and with no distant disease. Tracheoplasty, performed in highvolume centres, leads to a satisfying functional outcome.

Keywords : Thyroid cancer; Tracheal invasion; Thyroid surgery; Tracheoplasty.

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