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Treatment of locally advanced thyroid cancer invading the great vessels using a Y-shaped graft bypass

Authors
 Yong Sang Lee  ;  Woong Youn Chung  ;  Hang-Seok Chang  ;  Cheong Soo Park 
Citation
 INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, Vol.10(6) : 1039-1041, 2010 
Journal Title
INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY
ISSN
 1569-9293 
Issue Date
2010
MeSH
Aged ; Aorta/surgery ; Blood Vessel Prosthesis* ; Blood Vessel Prosthesis Implantation/instrumentation* ; Brachiocephalic Trunk/pathology ; Brachiocephalic Trunk/surgery* ; Carcinoma, Papillary/secondary ; Carcinoma, Papillary/surgery* ; Carotid Artery, Common/pathology ; Carotid Artery, Common/surgery* ; Female ; Humans ; Lymphatic Metastasis ; Magnetic Resonance Imaging ; Neoplasm Invasiveness ; Prosthesis Design ; Subclavian Artery/pathology ; Subclavian Artery/surgery* ; Thyroid Neoplasms/pathology ; Thyroid Neoplasms/surgery* ; Thyroidectomy* ; Tomography, X-Ray Computed ; Treatment Outcome
Keywords
Angioinvasion ; Locally advanced thyroid cancer ; Graft bypass
Abstract
Although the presence of aggressive angioinvasion is not a contraindication for surgical treatment of well-differentiated thyroid cancer, surgical resection and reconstruction of the major arteries in the neck and mediastinum using a synthetic graft is rarely performed. We present our experience of resection and reconstruction of the major arteries in the neck for the treatment of locally advanced thyroid cancer. A 66-year-old woman presented with locally advanced thyroid cancer with invasion of the right internal jugular vein and vagus nerve. The cancer mass encased the junction of the right common carotid artery, the subclavian artery, and the brachiocephalic trunk. After en-bloc resection of the tumor, the arteries were reconstructed using a Y-shaped synthetic graft between the common carotid artery, aorta, and the subclavian artery. Postoperatively, there was no evidence of cerebral ischemia and the patient made a rapid recovery without complications. An aggressive surgical approach is appropriate for grossly invasive thyroid cancer to decrease the risk of local recurrence and increase survival. Surgical resection and reconstruction of the major arteries in the neck and chest using a synthetic graft can be an acceptable therapeutic option for locally advanced thyroid cancer.
Files in This Item:
T201001193.pdf Download
DOI
10.1510/icvts.2009.229195
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Cheong Soo(박정수)
Lee, Yong Sang(이용상) ORCID logo https://orcid.org/0000-0002-8234-8718
Chang, Hang Seok(장항석) ORCID logo https://orcid.org/0000-0002-5162-103X
Chung, Woong Youn(정웅윤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101029
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