A rare invasion route for differentiated thyroid carcinoma: The tracheoesophageal common party wall

John R. Sims, Lauren E. Yue, Rebecca A. Ho, Azita S. Khorsandi, Margaret Brandwein-Weber, Mark L. Urken

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Thyroid carcinoma can infiltrate the aerodigestive tract. Invasion via the common party wall of the tracheoesophageal groove (TEG) is rare. A review of patients with thyroid cancer invading the aerodigestive tract was performed. We describe three cases of invasive thyroid cancer presenting 4 to 6 years after the initial thyroidectomy. Original pathology showed positive margins near the recurrent laryngeal nerve and TEG. A partial tracheal resection with a stair-step reconstruction was performed in one case; the other cases required total laryngopharyngectomy. Surgeons should be prepared to perform oncologically complete resections at the primary surgery to avoid potentially significant clinical consequences requiring aggressive surgery. Laryngoscope, 129:E455–E459, 2019.

Original languageEnglish
Pages (from-to)E455-E459
JournalLaryngoscope
Volume129
Issue number12
DOIs
StatePublished - 1 Dec 2019

Keywords

  • Papillary thyroid cancer
  • aerodigestive tract invasion
  • aggressive thyroid cancer
  • thyroid cancer
  • tracheoesophageal groove

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