Article
The management of the thyroid gland in patients with larynx carcinomas
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Published: | April 22, 2008 |
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Introduction: The authors present a retrospective study on 323 patients with larynx carcinomas solved in the ENT Department of “Sf. Spiridon” University Hospital, Iasi, Romania, between 2001–2006.
Methods: 183 patients were solved by different type of surgical methods (total laryngectomy, partial or total pharyngectomy, different excision of thyroid gland, neck dissection). Neoplastic involvement of the thyroid gland in laryngeal cancer was analysed based on CT, MRI, scintigraphy, echography, anatomopathological exam of excised specimen.
Results: 12 patients were confirmed with spead of cancer on the thyroid gland. We precised the necessity of removing thyroid sitmus and one or both lobes of the thyroid which eas emphasized.
Conclusions: We recomand the surgery of the thyroid gland when the spead of laryngeal cancer involve the anterior commisure, the subglottic area or extended transglotically as the possible pathways of extralaryngeal cancer spead to the thyroid gland is direct or lymphatic.