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A rare invasion route for differentiated thyroid carcinoma: The tracheoesophageal common party wall.

Authors
  • Sims, John R1
  • Yue, Lauren E2
  • Ho, Rebecca A2
  • Khorsandi, Azita S3
  • Brandwein-Weber, Margaret4
  • Urken, Mark L1, 2
  • 1 Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai West, New York, New York, U.S.A.
  • 2 THANC (Thyroid, Head, and Neck Cancer) Foundation, New York, New York, U.S.A.
  • 3 Department of Radiology, New York Eye and Ear Infirmary of Mount Sinai, New York, New York, U.S.A.
  • 4 Department of Pathology, Icahn School of Medicine at Mount Sinai, Mount Sinai West, New York, New York, U.S.A.
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.

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