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79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

30.04. - 04.05.2008, Bonn

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The management of the thyroid gland in patients with larynx carcinomas

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  • corresponding author Mihail Dan Cobzeanu - "Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania
  • Vasile Costinescu - "Gr. T. Popa" University of Medicine and Pharmacy, Iasi, Romania
  • Daniela Rusu - "Sf. Maria" Pediatrical Hospital, Iasi, Romania
  • Camelia Cobzeanu - Ambulatory Radiological Department of "Sf. Spiridon" Hospital, Iasi, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Bonn, 30.04.-04.05.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. Doc08hnod277

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hnod2008/08hnod277.shtml

Published: April 22, 2008

© 2008 Cobzeanu et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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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.