Carcinoma de tiroides con invasión traqueal: serie de cinco casos
Thyroid carcinoma with tracheal invasion: a series of five cases
J. Joaquín Torres Relucioa, E. Cases Viedmaa,
, J. Padilla Alarcónb, J.L. Sanchis Aldása
Corresponding author
cases.enr@gva.es
Correspondencia: Servicio de Neumología. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia. España
Correspondencia: Servicio de Neumología. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia. España
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Joaquín Torres Relucio, E. Cases Viedma, J. Padilla Alarcón, J.L. Sanchis Aldás" "autores" => array:4 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Joaquín Torres Relucio" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "E." "apellidos" => "Cases Viedma" "email" => array:1 [ 0 => "cases.enr@gva.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Padilla Alarcón" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J.L." "apellidos" => "Sanchis Aldás" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología. Hospital Universitario La Fe. Valencia. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cirugía de Torácica. Hospital Universitario La Fe. Valencia. España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Servicio de Neumología. Hospital Universitario La Fe. Avda. Campanar, 21. 46009 Valencia. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Thyroid carcinoma with tracheal invasion: a series of five cases" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-05-06" "fechaAceptado" => "2002-06-18" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec190656" "palabras" => array:3 [ 0 => "Carcinoma de tiroides" 1 => "Infiltración traqueal" 2 => "Pronóstico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec190655" "palabras" => array:3 [ 0 => "Thyroid carcinoma" 1 => "Tracheal infiltration" 2 => "Prognostic" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se presentan 5 pacientes con carcinoma de tiroides y afección traqueal. En dos de ellos el hallazgo de la infiltración traqueal fue intraoperatorio durante la exéresis del tiroides. En los restantes pacientes el diagnóstico se realizó por la presencia de síntomas respiratorios como la hemoptisis y el estridor. El diagnóstico anatomopatológico fue de carcinoma papilar en cuatro casos y un carcinoma folicular que correspondió al único varón de la serie. El tratamiento con tiroidectomía, resección traqueal y anastomosis terminoterminal, con vaciamiento ganglionar se siguió de una larga supervivencia. La búsqueda de la afectación traqueal durante la tiroidectomía y la sospecha clínica fueron decisivas para el buen pronóstico de estos pacientes.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report five cases of thyroid carcinoma with tracheal invasion. In two patients infiltration was found during thyroid exeresis. Diagnosis was based on respiratory signs such as hemoptysis and stridor in the other three patients. The pathologic diagnosis was papillary carcinoma for four patients and follicular carcinoma for one, the only man in the series. Treatment by thyroidectomy, tracheal resection and end-to-end anastomosis with node removal was followed by long-term survival. A search for tracheal involvement during thyroidectomy and clinical suspicion were the keys to a good prognosis for these patients.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:7 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The thyroid and parathyroid glands. 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