Carcinoma papilífero de tireóide localmente invasivo

Dedivitis, Rogério Aparecido; Guimarães, André Vicente

doi:10.1590/s0034-72992002000500014

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…Four per- cent of patients with unilateral vocal cord paralysis present thyroid disease, but only 0.7% are benign. Locally invasive thyroid cancers must be correctly evaluated by imaging methods, considering that the laryngotracheal invasion justifies the RLN involvement with subsequent vocal cord paralysis (11) . Advanced malignant esophageal tumors may extend towards the tracheoesophageal groove, the RLN pathway (12) .…”

Section: Causesmentioning

confidence: 99%

Avaliação por imagem da paralisia de pregas vocais

et al. 2009

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Paralisia das pregas vocais é causa frequente de rouquidão, podendo ser secundária a várias lesões ao longo do trajeto do X par craniano e seus ramos, particularmente os nervos laríngeos recorrentes. Apesar de grande parte dos casos ser idiopática, os métodos de imagem são muito importantes na pesquisa de fatores etiológicos, tais como lesões neoplásicas da tireoide e esôfago com invasão secundária dos nervos laríngeos recorrentes. Além destas, outras anormalidades como aneurismas do arco aórtico e da artéria subclávia direita podem ser encontradas. É fundamental que o radiologista conheça a anatomia pertinente a esta região e as principais afecções que podem ocorrer, para que o estudo seja corretamente planejado, auxiliando o diagnóstico e o planejamento terapêutico. Além disso, como até 35% dos casos de paralisia da prega vocal são assintomáticos, o conhecimento dos sinais radiológicos que indicam esta condição é indispensável, cabendo ao radiologista alertar o médico assistente sobre os achados do exame. Neste trabalho realizamos uma revisão da anatomia e das principais doenças responsáveis pela paralisia de cordas vocais, demonstrando-as por meio de estudos de tomografia computadorizada e ressonância magnética de casos típicos. Mostramos, também, as alterações radiológicas próprias da laringe que indicam a presença de paralisia das pregas vocais.

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Section: Causesmentioning

confidence: 99%

Avaliação por imagem da paralisia de pregas vocais

et al. 2009

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“…There is consensus among experts that the treatment of choice (classically) for thyroid cancers with curative intent is surgery. However, there are disagreements regarding the extent of the surgical approach, considering total or partial removal of the gland [4,5]. For a long time, the total thyroidectomy was recommended by guidelines and advocated by surgeons, being more comfortable.…”

Section: Introductionmentioning

confidence: 99%

“…Although there are a number of arguments supporting each of the therapeutic approaches, the choice of therapy relies on the expertise and experience of the specialist in question, and it is of utmost importance that the professional considers the extent of surgical resection, analyzing pre and intraoperative exams, and aiming not only to ensure that the patient's quality of life is not impaired but also to make sure that the entire tumor is removed [4,5].…”

Section: Introductionmentioning

confidence: 99%

Follow-up Distress in Patients Undergoing Partial Thyroidectomy for Thyroid Cancer: a Descriptive Cohort Study

Irikura Cardoso

2023

JED

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Thyroid nodules are a common issue in clinical practice, and 5 to 10% of them are malignant. Surgery remains the principal treatment, and total or partial thyroidectomy can be performed. Years ago, total thyroidectomy was the main recommendation in the guidelines, but studies have shown that partial surgery is acceptable in less aggressive cases. The type of surgery depends on the surgeon's expertise and the preservation of the patient's quality of life, so that the entire tumor is removed. Some issues may put the surgeon in distress when deciding to perform the partial operation, as they may lead to the need for reoperation. In this study, we retrospectively analyzed electronic medical records of patients with well-differentiated thyroid carcinoma undergoing partial thyroidectomy between 2015 and 2020 and reported what were the situations of distress related to the cases and the outcome (need of reoperation). In our sample, 63 (13,7%) of 458 patients with differentiated thyroid cancer treated surgically have undergone partial thyroidectomy and, of these, 10 (15,9%) patients had factors that caused distress to the surgeon and 53 (84,1%) had not. Of the patients with distress factors, five (50%) needed reoperation. Our results show that even when distress factors are present, partial thyroidectomy is still a viable option to the surgeon. We believe that the results obtained will help doctors in clinical practice to choose the surgical modality indicated for each patient.

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