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What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge

Of all thyroid cancers, anaplastic thyroid carcinoma (ATC) has the lowest incidence and worst prognosis. In this report, we describe a 64-year-old female patient who underwent total thyroidectomy and level VI neck dissection for papillary thyroid carcinoma. During follow-up, she showed signs of regi...

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Autores principales: Grillo, Vinicius Tadeu Ramos da Silva, Jaldin, Rodrigo Gibin, Bertanha, Matheus, Sobreira, Marcone Lima, Soares, Carlos Segundo Paiva, de Camargo, Paula Angeleli Bueno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499725/
https://www.ncbi.nlm.nih.gov/pubmed/36187221
http://dx.doi.org/10.1590/1677-5449.202102201
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author Grillo, Vinicius Tadeu Ramos da Silva
Jaldin, Rodrigo Gibin
Bertanha, Matheus
Sobreira, Marcone Lima
Soares, Carlos Segundo Paiva
de Camargo, Paula Angeleli Bueno
author_facet Grillo, Vinicius Tadeu Ramos da Silva
Jaldin, Rodrigo Gibin
Bertanha, Matheus
Sobreira, Marcone Lima
Soares, Carlos Segundo Paiva
de Camargo, Paula Angeleli Bueno
author_sort Grillo, Vinicius Tadeu Ramos da Silva
collection PubMed
description Of all thyroid cancers, anaplastic thyroid carcinoma (ATC) has the lowest incidence and worst prognosis. In this report, we describe a 64-year-old female patient who underwent total thyroidectomy and level VI neck dissection for papillary thyroid carcinoma. During follow-up, she showed signs of regional recurrence and underwent extended neck dissection and cervical esophagectomy. Intraoperatively, there was no cleavage plane between the tumor and the common carotid artery (CCA), so a carotid shunt was implanted and en bloc resection, including the affected CCA and esophagus segments was performed followed by vascular bypass with interposition of a great saphenous vein graft. A pathology review found evidence of anaplastic carcinoma. The patient underwent adjuvant treatment and has no signs of locoregional recurrence. Presented with the possibility of carrying out curative surgery with en bloc resection, the vascular surgeon must be prepared for the surgical options.
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spelling pubmed-94997252022-09-29 What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge Grillo, Vinicius Tadeu Ramos da Silva Jaldin, Rodrigo Gibin Bertanha, Matheus Sobreira, Marcone Lima Soares, Carlos Segundo Paiva de Camargo, Paula Angeleli Bueno J Vasc Bras Therapeutic Challenge Of all thyroid cancers, anaplastic thyroid carcinoma (ATC) has the lowest incidence and worst prognosis. In this report, we describe a 64-year-old female patient who underwent total thyroidectomy and level VI neck dissection for papillary thyroid carcinoma. During follow-up, she showed signs of regional recurrence and underwent extended neck dissection and cervical esophagectomy. Intraoperatively, there was no cleavage plane between the tumor and the common carotid artery (CCA), so a carotid shunt was implanted and en bloc resection, including the affected CCA and esophagus segments was performed followed by vascular bypass with interposition of a great saphenous vein graft. A pathology review found evidence of anaplastic carcinoma. The patient underwent adjuvant treatment and has no signs of locoregional recurrence. Presented with the possibility of carrying out curative surgery with en bloc resection, the vascular surgeon must be prepared for the surgical options. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2022-09-19 /pmc/articles/PMC9499725/ /pubmed/36187221 http://dx.doi.org/10.1590/1677-5449.202102201 Text en Copyright© 2022 The authors https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Therapeutic Challenge
Grillo, Vinicius Tadeu Ramos da Silva
Jaldin, Rodrigo Gibin
Bertanha, Matheus
Sobreira, Marcone Lima
Soares, Carlos Segundo Paiva
de Camargo, Paula Angeleli Bueno
What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
title What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
title_full What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
title_fullStr What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
title_full_unstemmed What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
title_short What to do when advanced thyroid cancer invades the carotid artery? Therapeutic challenge
title_sort what to do when advanced thyroid cancer invades the carotid artery? therapeutic challenge
topic Therapeutic Challenge
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499725/
https://www.ncbi.nlm.nih.gov/pubmed/36187221
http://dx.doi.org/10.1590/1677-5449.202102201
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