Experience in surgical treatment of papillary thyroid cancer with spread to the trachea («window» and circular resection)

V. Zh. Brzezovsky; T. A. Aketova; M. V. Lomaya

doi:10.14341/serg12940

Experience in surgical treatment of papillary thyroid cancer with spread to the trachea («window» and circular resection)

V. Zh. Brzezovsky, T. A. Aketova, M. V. Lomaya

https://doi.org/10.14341/serg12940

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Abstract

Compared to most malignant tumors, papillary thyroid cancer (PST) is associated with favorable survival and low recurrence rates. Prognostic factors for thyroid cancer include age, sex, tumor size, the presence of metastases in the lymph nodes of the neck, and the spread of the tumor beyond the thyroid capsule. Extrathyroid invasion of cancer into the trachea is a marker of more aggressive tumor behavior, determining a subpopulation of patients at greater risk of recurrence and death. The paper presents 2 cases of surgical treatment of advanced papillary thyroid cancer with ingrowth into the trachea. The performance of this or that type of surgery depends on the location and extent of the tumor invasion of this organ. In the first case, the socalled «window» tracheal resection was performed, in the second – circular resection with the imposition of an intertracheal anastomosis. This clinical case indicates the possibilities of using modern surgical techniques for locally advanced malignant thyroid tumors, which make it possible to achieve long-term remission of the disease.

Keywords

thyroid cancer, papillary, tracheal resection

About the Authors

V. Zh. Brzezovsky

N.N. Blokhin National Research Center of Oncology of the Ministry of Health of Russia
Russian Federation

Vitaly Zh. Brzezovsky, MD, PhD

23 Kashirskoe highway, 115522 Moscow

Scopus Author ID: 36612800900

Competing Interests:

Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.

T. A. Aketova

N.N. Blokhin National Research Center of Oncology of the Ministry of Health of Russia
Russian Federation

Tolkin A. Aketova, MD

eLibrary SPIN: 7927-4991

Competing Interests:

M. V. Lomaya

N.N. Blokhin National Research Center of Oncology of the Ministry of Health of Russia
Russian Federation

Marina V. Lomaya

Scopus Author ID: 57080078600

eLibrary SPIN: 8213-1313

Competing Interests:

References

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Supplementary files

	1. Рисунок 1. Пациент С. Рецидив рака щитовидной железы. Врастает в трахею и перстневидный хрящ.
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	2. Рисунок 2. Дефект трахеи и гортани, образовавшийся после удаления рецидива рака щитовидной железы (1). Грудино-подъязычная мышца (2).
	Subject
	Type	Other
	View (694KB)	Indexing metadata ▾

	3. Рисунок 3. Вид трахеи при эндоскопическом исследовании через год после ее резекции. Виден послеоперационный рубец.
	Subject
	Type	Other
	View (152KB)	Indexing metadata ▾

	4. Рисунок 4. Больная Ш. Компьютерная томография опухоли щитовидной железы с врастанием в трахею.
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	Type	Other
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	5. Рисунок 5. Этап резекции трахеи.
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	Type	Other
	View (741KB)	Indexing metadata ▾

	6. Рисунок 6. Схема выполнения межтрахеального анастомоза.
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	Type	Other
	View (283KB)	Indexing metadata ▾

	7. Рисунок 7. Этап укрывания межтрахеального анастомоза грудино-подъязычной мышцей.
	Subject
	Type	Other
	View (700KB)	Indexing metadata ▾

	8. Рисунок 8. Вид больной через год после операции.
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	Type	Other
	View (255KB)	Indexing metadata ▾

	9. Рисунок 9. КТ больной через год после операции. Проходимость трахеи в полном объеме.
	Subject
	Type	Other
	View (327KB)	Indexing metadata ▾

Review

For citations:

Brzezovsky V.Zh., Aketova T.A., Lomaya M.V. Experience in surgical treatment of papillary thyroid cancer with spread to the trachea («window» and circular resection). Endocrine Surgery. 2024;18(1):11-18. (In Russ.) https://doi.org/10.14341/serg12940

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).

ISSN 2306-3513 (Print)
ISSN 2310-3965 (Online)

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	Title	Рисунок 1. Пациент С. Рецидив рака щитовидной железы. Врастает в трахею и перстневидный хрящ.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6251

	Title	Рисунок 2. Дефект трахеи и гортани, образовавшийся после удаления рецидива рака щитовидной железы (1). Грудино-подъязычная мышца (2).
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6252

	Title	Рисунок 3. Вид трахеи при эндоскопическом исследовании через год после ее резекции. Виден послеоперационный рубец.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6253

	Title	Рисунок 4. Больная Ш. Компьютерная томография опухоли щитовидной железы с врастанием в трахею.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6254

	Title	Рисунок 5. Этап резекции трахеи.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6255

	Title	Рисунок 6. Схема выполнения межтрахеального анастомоза.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6256

	Title	Рисунок 7. Этап укрывания межтрахеального анастомоза грудино-подъязычной мышцей.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6257

	Title	Рисунок 8. Вид больной через год после операции.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6258

	Title	Рисунок 9. КТ больной через год после операции. Проходимость трахеи в полном объеме.
	Date	2024-06-04
Digital Object Identifier	https://doi.org/10.14341/serg12940-6259

User

Endocrine Surgery

Experience in surgical treatment of papillary thyroid cancer with spread to the trachea («window» and circular resection)

Full Text:

Abstract

Keywords

About the Authors

References

Supplementary files

Review

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