Use of tracheal stenting in the palliation of anaplastic thyroid carcinoma: tertiary centre experience
| Autor: | Brendan P. Madden, R Mathew, Kiran Varadharajan, P Williamson, B Odutoye |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Palliative care medicine.medical_treatment Thyroid Carcinoma Anaplastic Asymptomatic Anaplastic thyroid carcinoma medicine Humans Thyroid Neoplasms Anaplastic thyroid cancer Aged Neoplasm Staging Retrospective Studies Aged 80 and over business.industry Palliative Care Stent General Medicine Middle Aged respiratory system Airway obstruction medicine.disease Surgery Airway Obstruction Trachea Airway Compromise Otorhinolaryngology Female Stents Radiology medicine.symptom Tomography X-Ray Computed Airway business |
| Zdroj: | The Journal of Laryngology & Otology. 129:568-571 |
| ISSN: | 1748-5460 0022-2151 |
| DOI: | 10.1017/s0022215115001103 |
| Popis: | Background:Anaplastic thyroid carcinoma is rare but carries a poor prognosis. Anaplastic thyroid carcinoma leads to tracheal compression, airway compromise and eventually death. Airway compromise, a particularly distressing symptom, can be palliated with tracheal stenting.Method:A retrospective case note analysis was conducted of patients diagnosed with anaplastic thyroid carcinoma between July 2003 and July 2013.Results:Twelve patients with anaplastic thyroid carcinoma were identified. Four patients underwent palliative tracheal stenting. Three patients had no dyspnoea at the time of stenting. Two stented patients subsequently developed dyspnoea secondary to stent migration; this was managed successfully with stent exchange. The other stented patient remained asymptomatic with regards to dyspnoea. All non-stented patients died with or from airway compromise.Conclusion:Tracheal stenting is a relatively safe and effective method for palliation of distressing airway symptoms in patients with anaplastic thyroid carcinoma. Early prophylactic tracheal stenting in anaplastic thyroid carcinoma may be an effective option to prevent development of airway compromise as the disease progresses. |
| Databáze: | OpenAIRE |
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