Results of tracheal or esophageal resections in invasive carcinomas of thethyroid.

Study aim: The aim of this retrospective study was to report results of 21 tracheal or esophageal resections for invasive thyroid carcinomas. Patients and methods: Between January 1988 and August 2000, 21 patients (me an age: 66 years) had a tracheal (n = 10) or esophageal (n = 11) resection for involvement by an invasive thyroid carcinoma. There were eight undiffer entiated carcinomas, 11 papillary, one follicular and one epidermoid carcin omas. Results: One patient died from pulmonary embolism during the postoperative period. Complications were: tracheal fistula (n = 2), tracheal stenosis (n = 1), esophageal fistula (n = 2), recurrent nerve palsies (n = 8) and hypop arathyroidism (n = 4). Seven patients presented local recurrence and seven presented distant metastases. Ten patients were alive and ten patients died of their carcinoma. The mean survival in this study was 26 months (21 mont hs for anaplastic carcinomas and 41 months for differentiated carcinomas). Conclusion: Differentiated thyroid carcinomas have to benefit from a comple te tumoral resection; tracheal or esophageal resection is indicated in case of involvement. Anaplastic carcinomas have a poor prognosis; complete rese ction is indicated only for selected patients; radiotherapy and chemotherap y are used, because surgery is often impossible. (C) 2001 Editions scientif iques et medicales Elsevier SAS.