Abstract

FUENTES VALDES, Edelberto  and  FUENTES BOSQUET, Ronald Néstor. Tracheal Infiltration by Differentiated Thyroid Carcinoma. Rev Cubana Cir [online]. 2016, vol.55, n.3, pp. 234-247. ISSN 1561-2945.

Tracheal invasion by differentiated thyroid carcinomas is rare and surgical technique to be performed is still controversial among surgeons. The aim of this article was to review the available literature on the tracheal invasion by differentiated thyroid carcinomas. A literature review on the literature related to tracheal invasion by differentiated thyroid carcinomas (- 2016 2000) was performed in PubMed / MEDLINE. The following keywords and phrases in English were used: thyroid, carcinoma, differentiated thyroid cancer, tracheal invasion and their corresponding translation into Spanish. No randomized clinical trials were found. Most articles were retrospective. Clinical characteristics of this lesion and its diagnostic methods were evaluated: laryngo-tracheoscopy, aspiration cytology, and imaging studies: clinical characteristics of the lesion and diagnostic methods were evaluated. Surgical indications and anesthesiology care were defined. Finally, a critical discussion was made on the diagnostic methods and surgical techniques used and the value and indication of each. The clinical condition, the tracheoscopy, imaging and cytopathology study are essential to establish the preoperative diagnosis. Wherever possible, the circumferential resection of the trachea should be the technique of choice in the treatment of patients with tracheal infiltration by differentiated thyroid carcinomas.

Keywords : tracheal invasion; tracheal infiltration; differentiated thyroid carcinoma; circumferential resection; tangential resection; abrasion.

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