PAPILLAR THYROID CANCER WITH INTRALUMINAL TRACHEAL INVASION

Murat YAŞAROĞLU, Tamer OKAY, Ilgaz DOĞUSOY, Mehmet YILDIRIM, Hatice DEMİRBAĞ, *Mehmet TALU,**Ahmet AKÇAY

Siyami Ersek Hastanesi, Göğüs Cerrahi Kliniği, İSTANBUL
^*Haydarpaşa Numune Hastanesi Genel Cerrahi Kliniği, İSTANBUL
^**Haydarpaşa Numune Hastanesi Kulak Burun Boğaz Kliniği, İSTANBUL

Thryoid cancer invading the trachea is a rare occurrence that can cause death due to airway bleeding or suffocation. The incidence of tracheal invasion varies between 0,5-6,5% [,]. The patient was 70 years old woman who had undergone subtotal thyroidectomy 4 years ago. She presented with dyspnea and hemoptysis for one year. A nodule of 2 cm invading the trachea in the right thyroid lobe and 18 mm LAP were found and diagnosed as papillary thyroid cancer metastasis. She had left vocal cord paralysis and obliteration of the tracheal lumen between the 2ndand 4th tracheal rings. The lesion was resected along with involved 7 tracheal rings, and the trachea was reconstructed. Lymph node dissection was performed on the right side. She had uncomplicated postoperative course and was discharged on the 15th day for I131 treatment. She has been fallowed for 6 months and found to have normal tracheal lumen and no recurrence.

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