Achado indicental de carcinoma de papilífero de tireóide em esvaziamentos cervicais / Incidental finding of thyroid papillary carcinoma during neck dissection
Rev. bras. cir. cabeça pescoço
; 36(1): 6-8, jan.-mar. 2007. ilus
Article
in Pt
| LILACS
| ID: lil-454642
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RESUMO
Objetivo:
discutir o tratamento do carcxinoma papilífero de tireóide, quando descoberto incidentalmente e associado a carcinoma espinocelular de cabeça e pescoço. Pacientes emétodo:
foram investigados, retrospectivamente, 100 casos de esvaziamento cervical consecutivos no Serviço de Cirurgia de Cabeça e Pescoço do Hospital Santa Marcelina de Itaquaquecetuba (CSS Santa Marcelina), no período de janeiro de 2003 a dezembro de 2005.Resultados:
dos 100 pacientes, foram encontrados 2 casos de metástase de carcinoma papilífero de tireóide incidentalmente em linfonodos cervicais durante o tratemento cirúrgico para carcinoma espinocelular de hipofaringe e carcinoma espinocelular de base de língua. Os dois pacientes foram submetidos à tireoidectomia total com esvaziamento do compartimento central do pescoço e timectomia, quando decorridos trinta dias da primeira cirurgia.Conclusão:
o tratamento para carcinoma bem difernciado de tireóide achado incidentalmente durante o tratamento de carcinoma espinocelular de cabeça e pescoço ainda é controverso. Nossa limitada experiência sugere tireoidectomia total para todos os pacientes e seguimento individualizado para ambos os tumoresABSTRACT
Objective:
to discuss the treatment of thyroid papillary carcinoma, when incidentally found and associated to head and neck squamous cells carcinoma. Patients andmethods:
One hundred consecutive cases of neck dissection for treatment or staging were retrospectively investigated in the Service of Head and Neck Surgery of Santa Marcelina Hospital de Itaquaquecetuba (CSS Santa Marcelina) from 2003 to 2005.Results:
Among the retrospectively analyzes cases, two cases of incidental papillary cells metastasis in cervical lymph nodes during the neck dissection for squamous cells carcinoma of hypopharynx and tongue were found. Both patients underwent total thyroidectomy with a neck dissection of the centrla compartment and thymectomy after thirty days from the first surgery.Conclusion:
The treatment of well differentiated thyroid carcinoma incidentally found during the neck dissection for a squamous cell carcinoma treatment is still controversial. Our limited experience suggests total thyroidectomy to all the patients and individual continuation to both tumors
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Index:
LILACS
Main subject:
Neck Dissection
/
Thyroid Neoplasms
/
Carcinoma, Papillary
/
Carcinoma, Squamous Cell
/
Incidental Findings
/
Head and Neck Neoplasms
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
/
Male
Language:
Pt
Journal:
Rev. bras. cir. cabeça pescoço
Year:
2007
Type:
Article