Role of surgery in treatment of advanced differentiated thyroid carcinomas

摘要: Well-differentiated thyroid carcinomas are characterized by a long natural history. The evolution of the reconstructive techniques and improvement peri-operative anaestesiologist management patient have contributed, over last few years, to progressive widening demolitive surgery. aims enlarged surgical treatment in differentiated advanced guarantee respiratory alimentary functions as well symptomatic benefits, obtain local control disease recovery adjuvant therapeutic options, such metabolic conventional radiation. In present study, 27 patients who underwent surgery for carcinoma involving superior digestive-aerial ways (SDAW) were treated between January 1992 December 2002. following results achieved: Group 1 (7 patients): partial resection trachea larynx: 57% Not Evidence Disease (NED) at mean follow-up 7 years; other 43% Alive With (AWD). 2 (4 total laryngectomy associated with emi-pharyngectomy or oesophagectomy whom 50% NED 6 years. 3 mediastinum dissection sternotomy 7, 8 12 years follow-up, respectively (75%). 4 (12 latero-cervical, retro-clavear subclavear dissection, 75% cases 5.1 Enlarged is justified history histotypes advantages it offers therapies. An essential principle, case resections, modularity. respect loco-regional spread disease, surgeon has study plan procedure that involves various elective districts spreading, planning each step entity demolition reconstruction being modulated according demand.