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25. A Case of a Temporary Endotracheal Stent for Airway Management in a Patient with Primary Thyroid Lymphoma

Author

Jin Pyeong Kim, Young-Chul Kim, Park Jung Je, and Yeo Seong-Chul

Subjects
medicine.medical_specialty, Palliative care, business.industry, medicine.medical_treatment, Stent, respiratory system, medicine.disease, 03 medical and health sciences, 0302 clinical medicine, 030228 respiratory system, Otorhinolaryngology, Thyroid lymphoma, 030220 oncology & carcinogenesis, Diffuse large cell lymphoma, medicine, Surgery, Airway management, Radiology, business, Thyroid cancer
Abstract

Primary thyroid lymphoma is a rare malignancy that can grow rapidly and compress the airway. In such cases, a tracheostomy or thyroidectomy is generally required. Here, we report a case of a 76-year-old woman diagnosed with primary thyroid diffuse large B-cell lymphoma (DLBL), with dyspnea attributed to tracheal compression by the enlarged thyroid. The patient’s poor general condition meant that thyroidectomy was considered challenging. Therefore, a temporary endotracheal silicone stent was successfully inserted to maintain the airway, as tracheal stenting has been shown to be an effective treatment for both benign and malignant obstructive airway diseases. We conclude that, in patients with primary thyroid DLBL who present with airway compression but are not eligible for surgery, tracheal stent insertion can maintain the airway and allow time for chemotherapy to be administered.

Published
2020

31. Guidelines for the Surgical Management of Oral Cancer: Korean Society of Thyroid-Head and Neck Surgery

Author

Joo, Young-Hoon, Cho, Jae-Keun, Koo, Bon Seok, Kwon, Minsu, Kwon, Seong Keun, Kwon, Soon Young, Kim, Min-Su, Kim, Jeong Kyu, Kim, Heejin, Nam, Innchul, Roh, Jong-Lyel, Park, Young Min, Park, Il-Seok, Park, Jung Je, Shin, Sung-Chan, Ahn, Soon-Hyun, Won, Seongjun, Ryu, Chang Hwan, Yoon, Tae Mi, Lee, Giljoon, Lee, Doh Young, Lee, Myung-Chul, Lee, Joon Kyoo, Lee, Jin Choon, Lim, Jae-Yol, Chang, Jae Won, Jang, Jeon Yeob, Chung, Man Ki, Jung, Yuh-Seok, Cho, Jae-Gu, Choi, Yoon Seok, Choi, Jeong-Seok, Lee, Guk Haeng, and Chung, Phil-Sang

Subjects
Otorhinolaryngology, Republic of Korea, lcsh:R, lcsh:Medicine, Mouth Neoplasms, Surgery, Squamous Cell Carcinoma, Guidelines, Guideline, lcsh:Otorhinolaryngology, lcsh:RF1-547
Abstract

Korean Society of Thyroid-Head and Neck Surgery appointed a Task Force to provide guidance on the implementation of a surgical treatment of oral cancer. MEDLINE databases were searched for articles on subjects related to "surgical management of oral cancer" published in English. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, and observational studies. The quality of evidence was rated with use RoBANS (Risk of Bias Assessment Tool for Nonrandomized Studies) and AMSTAR (A Measurement Tool to Assess the Methodological Quality of Systematic Reviews). Evidence-based recommendations for practice were ranked according to the American College of Physicians grading system. Additional directives are provided as expert opinions and Delphi questionnaire when insufficient evidence existed. The Committee developed 68 evidence-based recommendations in 34 categories intended to assist clinicians and patients and counselors, and health policy-makers. Proper surgical treatment selection for oral cancer, which is directed by patient- and subsite-specific factors, remains the greatest predictor of successful treatment outcomes. These guidelines are intended for use in conjunction with the individual patient's treatment goals.

Published
2019

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