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Surgical management of metastatic disease in the conjunctive area between neck and thorax / 中国医学科学院学报
Acta Academiae Medicinae Sinicae ; (6): 694-697, 2003.
Article in Chinese | WPRIM | ID: wpr-327006
ABSTRACT
<p><b>OBJECTIVE</b>To study the surgical management of metastatic disease in the conjunctive area between the neck and thorax and its efficacy.</p><p><b>METHODS</b>Fourteen cases with metastatic node disease in the area between neck and thorax were collected and analysed. Eleven tumors were from the thyroid cancer, and the other three were from the hypopharyngeal cancer, esophagual cancer and malignant pheochromocytoma, respectively. The clavicle was displaced or resected, and the upper half of the manubrium might also be resected when necessary. The recurrent laryngeal nerve and phrenic nerve were exposed and protected. The metastatic disease was completely removed with the internal jugular and/or the brachiocephalic vein resected or spared, depending on the disease condition.</p><p><b>RESULTS</b>In 10 cases with metastases from the thyroid, no local recurrence was found within the follow-up period from 2 to 5 years. In contrast, no patient with metastatic disease from hypopharyngeal or esophageal cancer survived more than 11 months. No serious complications were found in this group.</p><p><b>CONCLUSIONS</b>The surgical treatment of node metastases in the conjunctive area between neck and thorax from the well-developed thyroid cancer has promising effect and is comparatively safe.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Neck Dissection / General Surgery / Thyroidectomy / Esophageal Neoplasms / Thyroid Neoplasms / Thoracotomy / Carcinoma, Papillary / Hypopharyngeal Neoplasms / Adenocarcinoma, Follicular / Lymph Node Excision Limits: Adult / Aged / Female / Humans / Male Language: Chinese Journal: Acta Academiae Medicinae Sinicae Year: 2003 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Neck Dissection / General Surgery / Thyroidectomy / Esophageal Neoplasms / Thyroid Neoplasms / Thoracotomy / Carcinoma, Papillary / Hypopharyngeal Neoplasms / Adenocarcinoma, Follicular / Lymph Node Excision Limits: Adult / Aged / Female / Humans / Male Language: Chinese Journal: Acta Academiae Medicinae Sinicae Year: 2003 Type: Article