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asbryobvrz · Wysłany: Nie 13:52, 13 Mar 2011

Thyroid cancer and the relationship between the Department of Otolaryngology: a report of 56 cases

Lord. Laryngeal recurrent laryngeal nerve lymph node chain prior to lymph nodes and also very easily affected, even up to all the cervical lymph nodes. The location of primary tumor often because of their deep, surrounded by a large number of normal thyroid tissue and cervical soft tissue coverage, making the tumor was not obvious that a cervical metastatic carcinoma of the outstanding performance of this disease, in this paper actually accounted for 1 / 4: in addition the source Metastatic cancer is extremely heterogeneous in the neck, from the thyroid account for only 0.7% c1), often easy to ignore. Otolaryngology cervical metastatic carcinoma is often the primary lesion to verify the attending departments, except in the head and neck range of inspections, undergraduate-oriented, yet the thyroid should be included in one of the major targets of the search, a careful analysis of history, make full use of the l62 species of the inspection, verification or exclusion of thyroid primary tumor. 2. Cervical lymph nodes: regional lymph node metastasis is one of the characteristics of thyroid cancer. When the cervical lymph nodes,[link widoczny dla zalogowanych], that discretion or double deletion of the purposes of unilateral neck dissection, the basic principles of head and neck cancer with the general. 56 cases in this article. For the purposes of cervical lymph nodes and neck dissection 24 down (28 deleted). 42.9%,[link widoczny dla zalogowanych], thyroid cancer can be seen that it is an important part of surgical treatment. 3 recurrent laryngeal nerve paralysis recurrent laryngeal nerve palsy article statistics were l9 cases, the rate was 33.9% = the main causes. First, because tumor expansion, oppression or violation of recurrent laryngeal nerve; second is due to the recurrent laryngeal nerve injury in surgery: the incidence is similar between the two in this article, and each line l cases of bilateral paralysis rate of leprosy occurred in 17 surgical .9%, far higher than the normal thyroid surgery,[link widoczny dla zalogowanych], invasive cancer is obviously a wide range of operation it is. How to better solve the problem of recurrent laryngeal nerve paralysis of thyroid cancer, depends on otorhinolaryngology physician's active participation and further explored. 4. Dysphagia: Thyroid cancer can compress the esophagus. Dysphagia occurred, and even penetrated the esophagus. This article has l0.7% cases was dysphagia, l patient with intraoperative wall invasion and fistula formation after injury, l cases of esophageal cancer has been broke into the cavity. 5. A tracheal compression and laryngeal involvement: tumor expansion, airway pressure shift can occur, and even advanced to a serious erosion of invasive intraluminal pressure, or because of bilateral recurrent laryngeal nerve paralysis,[link widoczny dla zalogowanych], difficulty breathing: In this paper 5 cases ( 8.9%) occurred at a stretch hose wall involvement. To relieve airway obstruction, 2 cases of very advanced cases of the purposes of the thyroid isthmus resection and tracheostomy on l cases of bilateral vocal cord paralysis tracheotomy. Tracheotomy or colostomy, should fully estimated in a wide range of fibrous tissue and cancer surgery of the difficulty of fully prepared to meet unexpected. Previous laryngotracheal involvement of radical surgery and often give only for palliative treatment, but in recent years, more active and effective advocate for local treatment, if necessary, removal of laryngeal tracheal fenestration, wide excision or even involvement of the larynx, trachea, in order to improve cure rate and improved survival quality -. Clearly, the Department of Otolaryngology Head and Neck Surgery in such surgery could play an important role. Second, the Department of Otolaryngology in the diagnosis and treatment of thyroid cancer, the role and status of the present, the Department of Otolaryngology has been taking almost all except the neck outside the thyroid surgery, in fact. Should also be involved in the field of thyroid surgery. From the above view on the analysis of thyroid cancer, and its relationship with the Department of Otorhinolaryngology, very close. Otolaryngology physicians familiar with the anatomy of cervical,[link widoczny dla zalogowanych], check neck primary tumor metastases, recurrent laryngeal nerve paralysis diagnosis of thyroid cancer treatment to prevent buildings, tracheostomy, neck dissection and the handling of the invasion and many other surrounding structures has a significant advantage, and has accumulated rich experience. Rapidly Otolaryngology Head and Neck Surgery and fruitful direction to explore, will be gradually Otolaryngology Head and Neck Surgery in the form of a thyroid surgery occupies an important position.