What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
نویسندگان
چکیده
Abstract Of all thyroid cancers, anaplastic carcinoma (ATC) has the lowest incidence and worst prognosis. In this report, we describe a 64-year-old female patient who underwent total thyroidectomy level VI neck dissection for papillary carcinoma. During follow-up, she showed signs of regional recurrence extended cervical esophagectomy. Intraoperatively, there was no cleavage plane between tumor common carotid artery (CCA), so shunt implanted en bloc resection, including affected CCA esophagus segments performed followed by vascular bypass with interposition great saphenous vein graft. A pathology review found evidence The adjuvant treatment locoregional recurrence. Presented possibility carrying out curative surgery surgeon must be prepared surgical options.
منابع مشابه
Diagnostic and therapeutic challenges for dermatologists: What shall we do when we don’t know what to do?
What shall we do when we have done everything we could for the diagnosis and treatment of a patient, but were not successful? What shall we do when there is no definite treatment for a patient? What shall we do when we have no diagnosis or treatment for a patient? Some useful suggestions are presented here to get rid of these situations.
متن کاملWhat happens to the external carotid artery following carotid endarterectomy?
AIMS The effect of carotid endarterectomy on the patency of the external carotid artery is unknown. We conducted a retrospective study to evaluate the long-term changes in the external carotid artery following carotid endarterectomy. METHODS Data was prospectively recorded for all patients who had carotid endarterectomy between 1997 and 2006 in our vascular surgical unit. These patients had f...
متن کاملWhat to Do When the Oceans Rise
This summer, Americans are experiencing climate change as record-breaking heat and drought. Our new normal, with its massive wildfires and severe storms, has given the whole nation a sense of the economic and social consequences of global warming that coastal communities around the world have been experiencing for decades. If you live near the sea, you’re probably witnessing the consequences of...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Jornal Vascular Brasileiro
سال: 2022
ISSN: ['1677-7301', '1677-5449']
DOI: https://doi.org/10.1590/1677-5449.202102202