THYROID GLAND INVOLVEMENT IN LARYNGEAL AND HYPOPHARYNGEAL CARCINOMA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 17
Abstract
OBJECTIVES To assess the thyroid gland involvement and the need for thyroidectomy in advanced laryngeal and hypopharyngeal carcinomas that require total laryngectomy. METHODS The study included 47 patients who had undergone total laryngectomy along with ipsilateral hemithyroidectomy or total thyroidectomy for primary squamous cell carcinoma of the larynx and/or hypopharynx. The laryngectomy specimen and thyroid specimen were studied histologically with multiple serial sections. RESULTS Two (7.7%) of the laryngeal carcinoma patients had thyroid gland invasion and two (9.5%) hypopharyngeal carcinoma patients had thyroid gland invasion. Four patients (15.4%) had evidence of thyroid cartilage invasion in the laryngeal carcinoma group. There were only three cases (14.3%) with thyroid cartilage invasion among the hypopharyngeal carcinoma patients. CONCLUSION To prevent unnecessary excision of the thyroid gland which may lead to important complications such as hypothyroidism, we suggest saving the thyroid gland during laryngectomy except in laryngeal carcinoma cases with subglottic or transglottic extension and advanced hypopharyngeal tumours.
Authors and Affiliations
Rakesh B. S, Bharathi M. B, Babu A. R
Keywords
Related Articles
- EP ID EP233817
- DOI 10.18410/jebmh/2016/156
- Views 79
- Downloads 0
RARE BRANCHIAL ARCH ANOMALIES
AIM Amongst the branchial arch anomalies third arch anomaly occurs rarely and more so the fourth arch anomalies. We present our experience with cases of rare branchial arch anomalies. PATIENTS AND METHODS From June 2006...
A STUDY OF PATIENT’S PERCEPTION ABOUT PRE ANAESTHESIA CLINIC IN A TERTIARY CARE HOSPITAL OF A DEVELOPING COUNTRY
BACKGROUND Patients, scheduled for elective surgery are referred from various surgical specialities to anaesthesiologists for evaluation before the surgical procedure. Perception and knowledge of patients regarding pre a...
COMPARISON OF EFFECT OF MAGNESIUM SULPHATE AND PRESERVATIVE-FREE KETAMINE AS AN ADJUNCT TO EPIDURAL BUPIVACAINE FOR POSTOPERATIVE ANALGESIA IN ABDOMINAL HYSTERECTOMY
BACKGROUND Neuraxial blocks are the most common method of anaesthesia in abdominal hysterectomies and epidural technique has been used widely to provide both anaesthesia and postoperative analgesia. It has become a commo...
ALLERGEN SENSITIZATION PROFILE IN PATIENTS OF NASO-BRONCHIAL ALLERGY FROM RURAL AND URBAN AREA OF RESIDENCE IN CENTRAL RAJASTHAN
BACKGROUND Allergic diseases are important contributors of the overall disease burden worldwide. There is tremendous increase in the prevalence of allergic diseases in India in the last 30 years. India is country of dive...
FIXED DRUG ERUPTION
Fixed drug eruption is a drug induced skin eruption characterized by one or multiple skin erythematous plaques that disappears once the culprit drug is withdrawn leaving hyper pigmented sequelae. These plaques are termed...