A rare invasion route for differentiated thyroid carcinoma: The tracheoesophageal common party wall.
- Authors
- Type
- Published Article
- Journal
- The Laryngoscope
- Publisher
- Wiley (John Wiley & Sons)
- Publication Date
- Dec 01, 2019
- Volume
- 129
- Issue
- 12
- Identifiers
- DOI: 10.1002/lary.27915
- PMID: 30860597
- Source
- Medline
- Keywords
- Language
- English
- License
- Unknown
Abstract
Thyroid carcinoma can infiltrate the aerodigestive tract. Invasion via the common party wall of the tracheoesophageal groove (TEG) is rare. A review of patients with thyroid cancer invading the aerodigestive tract was performed. We describe three cases of invasive thyroid cancer presenting 4 to 6 years after the initial thyroidectomy. Original pathology showed positive margins near the recurrent laryngeal nerve and TEG. A partial tracheal resection with a stair-step reconstruction was performed in one case; the other cases required total laryngopharyngectomy. Surgeons should be prepared to perform oncologically complete resections at the primary surgery to avoid potentially significant clinical consequences requiring aggressive surgery. Laryngoscope, 129:E455-E459, 2019. © 2019 The American Laryngological, Rhinological and Otological Society, Inc.