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本文报告5例甲状腺癌侵犯气管的外科治疗经验,占同期收治甲癌123例的4％。乳头状癌3例,滤泡癌2例。侵犯气管浅层3例,侵犯气管全层及气管内并发瘤块各1例。浅层受累者在软骨膜下连同浅层气管壁削除。3例中2例已分别存活13和12年,另1例术后存活6年后失访。1例气管全层受累,气管前壁和侧壁切除2环后插入金属导管,术后已存活9年。另1例既有气管和腔内侵犯又有两肺转移,术时将颈部肿块连同二环气管及腔内肿瘤一并切除,术后已两年尚带瘤生存。结合文献,对甲癌侵犯气管的诊断和手术方法进行简要讨论。
This article reports the surgical treatment of 5 cases of thyroid cancer invasion of the trachea, which accounted for 4% of 123 cases of thyroid cancer treated in the same period. There were 3 cases of papillary carcinoma and 2 cases of follicular carcinoma. 3 cases were invaded the superficial trachea and invaded the whole trachea and 1 intratumoral tumor. Shallow patients were removed under the perichondrium with a shallow tracheal wall. Of the 3 cases, 2 cases had survived for 13 and 12 years respectively, and the other one was lost after 6 years of survival. One case involved tracheal full-thickness, metal catheters were inserted behind the anterior wall of the trachea and the lateral wall was cut 2 rings, and it had survived for 9 years after surgery. In the other case, there was both intratracheal and intraluminal invasion and two lung metastases. During the operation, the neck mass was removed together with the bi-annular trachea and the tumor in the cavity. The tumor had survived for two years after the operation. Combined with the literature, a brief discussion of the diagnosis and surgical methods of invasion of the trachea of A cancer is briefly discussed.