Abstract
From 1970 to 1993, 196 patients with thyroid cancer were treated surgically. In 26 (13.2%) an invasion of local and regional structures was observed. Eighteen patients had papillary or follicular carcinoma and 9 anaplastic carcinoma. Tracheal invasion occurred in 11 cases and 7 patients underwent total thyroidectomy, segmental resection of the trachea (1-5 rings) and reanastomosis, associated preoperatively in 2 cases with Nd:YAG laser photocoagulation. Six of thirteen patients with muscle invasion are alive at 2-16 years follow-up; 3 patients with tracheal invasion died in less than 6 months and the others seem to be free of disease 6-14 years after operation.
Publication types
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Comparative Study
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English Abstract
MeSH terms
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Adenocarcinoma, Follicular / mortality
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Adenocarcinoma, Follicular / pathology
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Adenocarcinoma, Follicular / surgery
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Adult
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Aged
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Bronchoscopy
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Carcinoma / mortality
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Carcinoma / pathology
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Carcinoma / surgery*
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Carcinoma, Medullary / mortality
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Carcinoma, Medullary / pathology
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Carcinoma, Medullary / surgery
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Carcinoma, Papillary / mortality
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Carcinoma, Papillary / pathology
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Carcinoma, Papillary / surgery
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Female
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Humans
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Laser Coagulation
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Male
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Middle Aged
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Neoplasm Invasiveness
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Preoperative Care
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Thyroid Neoplasms / mortality
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Thyroid Neoplasms / pathology
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Thyroid Neoplasms / surgery*
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Thyroidectomy
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Time Factors
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Tracheal Neoplasms / diagnosis
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Tracheal Neoplasms / pathology
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Tracheal Neoplasms / surgery