Tracheal resection in locally recurrent differentiated thyroid cancer; a
Locally recurrent papillary carcinoma of thyroid is a treatable disease.
For endotracheal invasion, tracheal resection and anastomosis is a
viable option in certain cases which gives significant result. Case
presentation: A 46 year female patient with a history of total
thyroidectomy + bilateral neck dissection for carcinoma thyroid two
years back presented with recurrent thyroid mass in neck with
endotracheal invasion. This was successfully treated with segmental
tracheal resection with end to end anastomosis after 4 cm defect. Post
– operative course was uneventful. Conclusion: Endotracheal invasion of
recurrent carcinoma thyroid is not a contraindication for surgery. Full
circumferential resection and end to end anstomosis is preferred to
shaving trachea. It can be safely anastomosed upto 5 cm defect length.
Apart from giving immediate relief of intratracheal bleeding and
obstructive airways, it gives long term disease free survival.