호흡 곤란을 유발한 미분화 갑상선암에서 기관 스텐트 삽입 1예

• 영문명: A Case of Tracheal Stent Insertion in Airway Compromise Resulting from Anaplastic Thyroid Cancer
• 발행기관: 대한두경부종양학회
• 저자명: 남우주(Woo joo Nam) 김소연(So Yean Kim) 김태환(Tae Hwan Kim) 이상혁(Sang Hyuk Lee)
• 간행물 정보: 『대한두경부종양학회지』제33권 제1호, 47~52쪽, 전체 6쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2017.05.30

영문 초록

Anaplastic thyroid cancer is a rare disease entity consist 2% of whole thyroid cancer but once diagnosed, it is too fatal to survive. Airway obstruction is a leading cause of death in anaplastic thyroid cancer, which may be caused by both vocal cord palsy, mass effect of the cancer or direct invasion of the cancer itself to the tracheal lumen. Tracheal stent insertion can be a solution for airway compromised cases where surgical excision cannot be performed. The advantage is that the airway problem can be solved without invasive procedure. In this case, we tried expandable tracheal stent insertion for 66 years-old man with anaplastic cancer who visited ER for small amount of hemoptysis and dyspnea. There was severe tracheal narrowing and deviation due to the anaplastic thyroid cancer, ECMO (Extra Corporal Membrane Oxygenation) was used instead of a tracheal intubation for general anesthesia.

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키워드

갑상선 미분화암 기관스텐트 기도 폐쇄 체외막산소화장치 Thyroid gland Anaplastic cancer Tracheal stent Air way obstruction ECMO