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KMID : 0356820170330010047
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Korean Journal of Head & Neck Oncology
2017 Volume.33 No. 1 p.47 ~ p.52
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A Case of Tracheal Stent Insertion in Airway Compromise Resulting from Anaplastic Thyroid Cancer
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Nam Woo-Joo
Kim So-Yeon
Kim Tae-Hwan
Lee Sang-Hyuk
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Abstract
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Anaplastic thyroid cancer is a rare disease entity consist 2% of whole thyroid cancer but once diagnosed, it is too fatal to survive. Airway obstruction is a leading cause of death in anaplastic thyroid cancer, which may be caused by both vocal cord palsy, mass effect of the cancer or direct invasion of the cancer itself to the tracheal lumen. Tracheal stent insertion can be a solution for airway compromised cases where surgical excision cannot be performed. The advantage is that the airway problem can be solved without invasive procedure. In this case, we tried expandable tracheal stent insertion for 66 years-old man with anaplastic cancer who visited ER for small amount of hemoptysis and dyspnea. There was severe tracheal narrowing and deviation due to the anaplastic thyroid cancer, ECMO (Extra Corporal Membrane Oxygenation) was used instead of a tracheal intubation for general anesthesia.
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KEYWORD
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Thyroid gland , Anaplastic cancer , Tracheal stent , Air way obstruction , ECMO
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