Parapharyngeal metastases from thyroid cancer: surgical management of two cases with minimally-invasive video-assisted technique
Parapharyngeal metastases from thyroid cancer: surgical management of two cases with minimally-invasive video-assisted technique
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DOI：
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发表时间：
2015-08
影响因子：
2
通讯作者：
L. Giordano;F. Pilolli;S. Toma;M. Bussi
中科院分区：
文献类型：
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作者：
L. Giordano;F. Pilolli;S. Toma;M. Bussi
摘要：在分化良好的甲状腺癌中，转移到咽旁或咽后淋巴结是罕见的。对英国文献的回顾发现，在过去二十年中仅报告了112例，咽旁淋巴结转移的发生率从0.43到2.5%不等。手术切除是甲状腺癌咽旁淋巴结转移患者最有效的治疗方法。我们描述了两例甲状腺癌咽旁淋巴结转移的手术切除，采用传统的经宫颈入路，在微创视频辅助技术的帮助下。视频辅助经宫颈微创入路是一种切除较大良性肿瘤和部分恶性肿瘤的新技术。内窥镜技术可以清楚地识别关键的手术标志，在几乎无血的手术视野中引导解剖通过正确的卵裂面，从而降低并发症的发生率。两例患者术后随访均无后遗症，术后20个月和15个月无复发。
SUMMARY Metastases to parapharyngeal or retropharyngeal lymph nodes are rare in well-differentiated thyroid cancers. A review of English literature found only 112 cases reported in the last two decades, with an incidence of parapharyngeal lymph nodes metastases ranging from 0.43 to 2.5%. Surgical resection is the most effective treatment for patients with parapharyngeal lymph node metastasis from thyroid carcinoma. We describe two cases of thyroid cancer parapharyngeal lymph node metastases that were surgically removed using a traditional transcervical approach, with the help of a minimally-invasive video-assisted technique. A video-assisted minimally-invasive transcervical approach is a new technique for excision of sizable benign tumours and selected malignant tumours. The endoscopic technique allows clear identification of critical surgical landmarks that guide the dissection through the correct cleavage plane in a nearly bloodless surgical field, thus decreasing the rate of complications. In both patients postoperative follow-up showed no sequelae and recurrence after 20 and 15 months from surgery.