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The clinical course of papillary adenocarcinoma of the thyroid is delayed but aggressive and lethal in an estimated 11-16% of the patients. Death results in the majority of patients from respiratory obstruction produced by a collar of tumor that has proliferated from residual or multicentric thyroid disease. Review of a large series of cases reveals an incidence of invasion of the aerodigestive tract of 1-6.5%. Six such cases are presented in which resection of the larynx, trachea and pharynx were performed along with total thyroidectomy with local control of the disease and prolonged survival. In five cases conservation surgery was done. Three patients had prior thyroid lobectomy with recurrence and invasion of the air passages 2-5 years later. Intraluminal thyroid carcinoma may be confused with a primary lesion of the larynx, trachea or hypopharynx.
W Lawson, and
H L Som, and
H F Biller
November 1976,
Ear, nose, & throat journal,
W Lawson, and
H L Som, and
H F Biller
January 1896,
The Hospital,
W Lawson, and
H L Som, and
H F Biller
December 1961,
Medizinische Klinik,
W Lawson, and
H L Som, and
H F Biller
October 1968,
British journal of diseases of the chest,
W Lawson, and
H L Som, and
H F Biller
November 2002,
Surgery,
W Lawson, and
H L Som, and
H F Biller
April 1904,
Atlanta journal-record of medicine,
W Lawson, and
H L Som, and
H F Biller
January 1960,
Transactions of the ... annual meeting of the American Laryngological Association. American Laryngological Association. Annual Meeting,
W Lawson, and
H L Som, and
H F Biller
May 1964,
Journal of the Irish Medical Association,
