甲状腺发育不全癌的大胸手术和颈椎重建。关于一个案例

A.-C. Collin , K. Chekaroua , T. Delaporte , J.-P. Droz , J.-L. Peix , E. Delay
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引用次数: 4

摘要

研究目的甲状腺再生癌是一种罕见但高度恶性的肿瘤。本研究的目的是介绍一位接受多模式治疗的患者,并分析预后因素。患者和方法我们报告了一位在1996年因甲状腺间变性癌伴宫颈皮肤浸润而接受治疗的患者。最初的手术程序是一个全甲状腺切除术扩展到颈前皮肤与双侧颈部清扫。病人接受背阔肌皮瓣重建。然后辅以放疗和化疗。结果该患者经多模式治疗9年后肿瘤完全消失。她没有出现任何功能后遗症,重建的塑性结果被认为是非常令人满意的。结论间变性癌是侵袭性较强的肿瘤之一。本病例报告表明,包括手术、化疗和放疗在内的多模式治疗可能为长期生存提供希望。背阔肌皮瓣是一个可靠的解决方案,以覆盖这一巨大的颈部缺损。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chirurgie d'exérèse élargie et reconstruction cervicale pour cancer anaplasique de la thyroïde. À propos d'un cas

Study aim

Anaplastic carcinoma of the thyroid is a rare but highly malignant tumor. The goal of this study was to present the case of a patient who underwent a multimodal treatment and to analyze prognosis factors.

Patient and methods

We present the case of a patient treated in 1996 for an anaplasic thyroid carcinoma with cervical cutaneous invasion. The initial surgical procedure was a total thyroidectomy extended to the anterior cervical skin associated to bilateral neck dissection. The patient underwent a differed reconstruction with musculocutaneous latissimus dorsi flap. Management was then supplemented by radiotherapy and chemotherapy.

Results

This patient is free of tumor 9 years after this multimodal management. She does not present any functionary sequela and plastic results of the reconstruction is considered as very satisfactory.

Conclusion

Anaplastic carcinoma is one of more aggressive neoplasm affecting humans. This case report suggests that multimodality therapy, including surgery, chemotherapy and radiotherapy may offer hope for long-term survival. A musculocutaneous latissimus dorsi flap is a reliable solution to cover this large cervical defect.

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