胸骨,縦隔に伸展した甲状腺癌症例に対する治療

概要

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We report here our experience with the surgical treatment of thyroid cancer cases in which cervical tumor extended to the sternum or metastatic lesions developed in the mediastinum. Of recent five cases, two cases were recurrent cases. Besides resection of thyroid and neck tumors, the following surgical procedures were performed in this series: median sternotomy (one case), upper median sternotomy (one case), resection of the upper part of the sternum including the median portion of the bilateral claviculae and of bilateral ribs (two cases), resection of the left clavicula only (one case). Additional resection was made of the tracheal wall (three cases) and the common carotid artery (two cases) in which replacement by a saphenous vein graft in one case and end to side anastomosis with the subclavian artery in the other case were performed. In a patient with lung metastasis who was planned to be followed by 131I treatment after surgery, pleuritis carcinomatosa occurred postoperatively and the general condition deteriorated gradually. Four other patients are following favorable courses at the present time.
耳鼻咽喉科臨床学会の論文