Abstract | BACKGROUND: METHODS: Six hundred and twenty-two patients underwent operation for various thyroid disease and were treated by the same surgeon. The study was confined to 16 (3%) patients who suffered from a thyroid tumor with preoperative RLNP. RESULTS: CONCLUSIONS: Thyroid tumor associated with RLNP is strongly suggestive of malignancy. The RLN should be preserved if it has not been invaded by the tumor, because it offers a good chance of functional recovery postoperatively. Well-differentiated thyroid cancer accounts for only half of these patients who tend to present at an older age and feature a much higher incidence of upper aerodigestive tract invasion. The operations for these patients often are complex and should be performed by experienced surgeons. Radical excision of a resectable anaplastic or squamous cell carcinoma of the thyroid gland offers the chance, albeit small, of long-term survival in this study.
|
Authors | Feng-Yu Chiang, Jen-Chih Lin, Ka-Wo Lee, Ling-Feng Wang, Kuo-Bow Tsai, Che-Wei Wu, Shang-Pin Lu, Wen-Rei Kuo |
Journal | Surgery
(Surgery)
Vol. 140
Issue 3
Pg. 413-7
(Sep 2006)
ISSN: 0039-6060 [Print] United States |
PMID | 16934603
(Publication Type: Journal Article)
|
Topics |
- Aged
- Carcinoma, Papillary
(complications, diagnosis, surgery)
- Carcinoma, Squamous Cell
(complications, diagnosis, surgery)
- Female
- Humans
- Laryngeal Nerves
(pathology, physiology, surgery)
- Male
- Middle Aged
- Prognosis
- Retrospective Studies
- Thyroid Gland
(pathology, surgery)
- Thyroid Neoplasms
(complications, diagnosis, surgery)
- Thyroidectomy
(methods)
- Treatment Outcome
- Vocal Cord Paralysis
(etiology, pathology, surgery)
|