Laryngectomy-Sparing Radio Frequency Ablation for Laryngeal Metastasis in Recurrent Papillary Thyroid Carcinoma: A Case Report.

IF 0.8 Q4 ENDOCRINOLOGY & METABOLISM

Case Reports in Endocrinology Pub Date : 2026-02-22 eCollection Date: 2026-01-01 DOI:10.1155/crie/6647587

Hossein Chegeni, Hojat Ebrahiminik, Haleh Chehrehgosha, Maryam Pourashraf, Hossein Parsa, Zeinab Azizi, Seyed Hossein Samadanifard, Vahan Moradians, Ebrahim Karimi

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Abstract

Introduction: Recurrence rate of papillary thyroid carcinoma (PTC) due to laryngeal metastasis is rare, radio frequency ablation (RFA) shows efficacy in management of recurrent PTC. This case is important due to its rarity and limited evidence on using RFA for recurrent PTC with laryngeal metastasis, focusing on larynx preservation and voice maintenance.

Case report: A 64-year-old woman with recurrent PTC experienced shortness of breath, hoarseness, and painful swallowing. Imaging revealed two masses affecting her vocal cords and severe airway narrowing. After declining a laryngectomy, she underwent RFA and temporary tracheostomy. Follow-up showed successful treatment, with no residual mass, and her voice improved.

Conclusion: This case shows a successful performance of RFA in a patient with recurrent and invasive PTC with laryngeal involvement who refused laryngectomy. It seems that combining RFA with radioactive iodine and external beam radiation can be considered in patients with recurrent PTC with laryngeal metastasis to maintain voice.

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喉切除保留射频消融治疗复发性甲状腺乳头状癌喉转移1例报告。

摘要喉转移性甲状腺乳头状癌（PTC）复发率低，射频消融（RFA）是治疗复发性甲状腺乳头状癌的有效方法。本病例的重要性在于其罕见性和有限的证据表明RFA治疗复发性PTC伴喉部转移，重点是喉保护和声音维持。病例报告：64岁女性复发性PTC出现呼吸短促，声音嘶哑，吞咽疼痛。影像学显示两个肿块影响声带和严重的气道狭窄。在拒绝喉切除术后，她接受了射频消融术和临时气管切开术。随访显示治疗成功，没有残留肿块，她的声音也有所改善。结论：本病例在拒绝喉切除术的复发性侵袭性PTC患者中显示了RFA的成功表现。对于喉部转移的复发性PTC患者，RFA联合放射性碘及外束照射可考虑维持声音。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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