MEDIASTINAL DISSECTION AND RECONSTRUCTION FOR RECURRENT HURTHLE CELL-CARCINOMA OF THE THYROID

A 69-year-old man presented with recurrent Hurthle cell carcinoma of t he thyroid. Successful surgical resection of the recurrent tumor inclu ded the larynx and trachea; skin, soft tissues, and lymph nodes of the neck; and the tissues of the anterior mediastinum, including upper st ernum and clavicular heads. Coverage of the wound was accomplished wit h an inferiorly based parasternal fasciocutaneous flap and a long pect oralis myocutaneous flap. This represents the first reported case of H urthle cell carcinoma treated with mediastinal dissection for extensiv e local disease. Radical surgical resection should be considered for a ny patient with Hurthle cell carcinoma of the thyroid in view of the i neffectiveness of nonsurgical modalities. (C) 1994 John Wiley & Sons, Inc.