Fiberoptic bronchoscopy in thyroid carcinoma with tracheal invasion.
Fiberoptic bronchoscopy in thyroid carcinoma with tracheal invasion.
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DOI：
10.1155/dte.4.113
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发表时间：
1998
期刊：
影响因子：
--
通讯作者：
Kato H
中科院分区：
文献类型：
--
作者：
Koshiishi H;Toriya K;Ozaki O;Ito K;Konaka C;Kato H
术前对甲状腺癌伴气管侵犯的支气管镜检查结果进行检查，并与组织病理学结果进行比较。气管套筒切除术20例。支气管镜检查结果分为5类：气管腔内肿瘤（5例）、气管外压迫加粘膜改变（9例）、气管外压迫（2例）、粘膜改变（3例）、正常（1例）。病理结果显示，气管壁的侵犯程度根据上述每种支气管镜类型而不同。气管外浸润的气管环数平均比术前支气管镜检查粘膜浸润气管环数多0.8个（最大2个）。本研究表明切除气管环的必要性比支气管镜检查结果显示的要多2个。
Preoperative bronchoscopic findings of thyroid carcinoma with tracheal invasion were examined and compared with the histopathological findings. Tracheal sleeve resection was performed in 20 cases. The bronchoscopic findings were classified into 5 types: confirmed tumor in the tracheal lumen (5 cases), extramural compression of the trachea plus mucosal change (9 cases), extramural compression of the trachea (2 cases), mucosal changes only (3 cases), normal findings (1 case). Pathological findings revealed that the extent of invasion in the tracheal wall varied according to each of the above bronchoscopic types. The number of tracheal rings with adventitial invasion averaged 0.8 (maximum 2) more than preoperative bronchoscopic findings of the number of tracheal rings with mucosal invasion. This study demonstrated the necessity of resective 2 more tracheal rings than is indicated by the bronchoscopic findings.