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KMID : 0364019950280121155
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 12 p.1155 ~ p.1159
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Transsternal Resection in Advanced Thyroid Cancer -A Report of 8 Cases-
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임수빈
박종호/백희종/조재일/심영목
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Abstract
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Differentiated thyroid carcinoma is a slow growing tumor with relative good prognosis. But locally advanced thyroid canc3r with T4 or Nib is difficult to manage.
Between June 1988 and April 1995, we resected 8 advanced thyroid cancers trans-sternally. All patients had direct mediastinal extension (T4) or mediastinal lymph node metastasis (Nlb) with airway obstructioy or dysphagia. We operated all the
patients by
partial or total sternotomy for mediastinal dissection along with thyroidectomy and radical neck dissection. There were some acceptable morbidities but no operative mortality. Postoperative radioactive iodine thereapy was followed without side
effects.
Follow-up survival period was between 11 months to 81 months with 2 late mortalities (17 month, 30 month).
Although definite benefit for routine mediastinal dissection in thyroid cancer has not been established, in locally advanced cases impending airway obstruction or dysphagia who have questionable effect by radioactive iodine therapy alone,
aggressive
mediastinal mass dissection including lymph node metastasis has the significant role to prevent the patients from suffocation & dysphagia, and to enhance the effect of followed radioactive iodine tharapy.
(Korean J Thorac Cardiovasc Surg 1995;28:1155-9)
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