Management of thyroid gland invasion in laryngeal and hypopharyngeal squamous cell carcinoma
| Autor: | Seçil Arslanoğlu, G. Yazgı Tütüncü, Aylin Kopar, Yılmaz Özkul, Erdem Eren, Demet Etit, Ejder Ciğer, Kazim Onal |
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| Rok vydání: | 2015 |
| Předmět: |
Larynx
Adult Male medicine.medical_specialty Pathology medicine.medical_treatment Thyroid Gland Laryngectomy 03 medical and health sciences 0302 clinical medicine Hypopharyngeal Neoplasm medicine Humans Neoplasm Invasiveness Thyroid Neoplasms 030223 otorhinolaryngology Laryngeal Neoplasms Aged Retrospective Studies Aged 80 and over Hypopharyngeal Neoplasms business.industry Incidence Thyroid Thyroidectomy Disease Management General Medicine Laryngeal Neoplasm Middle Aged Thyroid cartilage medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Female business Tomography X-Ray Computed |
| Zdroj: | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 273(2) |
| ISSN: | 1434-4726 |
| Popis: | The objective of this study was to determine the incidence of thyroid gland invasion in laryngeal and hypopharyngeal squamous cell carcinoma; and the association between clinicopathological parameters and thyroid gland invasion. Medical records of 75 patients with laryngeal and hypopharyngeal squamous cell carcinoma who underwent total laryngectomy with thyroidectomy were reviewed, retrospectively. Preoperative computed tomography scans, clinical and operative findings, and histopathological data of the specimens were evaluated. There were 73 male and two female patients with an age range of 41–88 years (mean 60.4 years). Hemithyroidectomy was performed in 62 (82.7 %) and total thyroidectomy was performed in 13 patients (17.3 %). Four patients had histopathologically proven thyroid gland invasion (5.3 %). In three patients, thyroid gland involvement was by means of direct invasion. Thyroid gland invasion was significantly correlated with thyroid cartilage invasion. Therefore, prophylactic thyroidectomy should not be a part of the treatment policy for these tumors. |
| Databáze: | OpenAIRE |
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