Emergency management of a patient with severe airway obstruction resulting from poorly differentiated thyroid carcinoma: A case report
- Authors:
- Rong Yang
- Xiongfei Yu
- Liang Ma
- Fusheng Wu
View Affiliations
Affiliations: Department of Surgical Oncology, The First Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, P.R. China, Department of Surgical Oncology, The First Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, P.R. China, Department of Cardio-Thoracic Surgery, The First Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, P.R. China
- Published online on: July 26, 2012 https://doi.org/10.3892/ol.2012.827
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Pages:
771-774
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Abstract
We present a case of a life-threatening almost complete airway obstruction resulting from poorly differentiated thyroid carcinoma in a 48-year-old male. Airway obstruction may lead to unexpected mortality by suffocation and patients with poorly differentiated thyroid carcinoma usually have a fast deterioration and fatal outcome. In the case presented, we describe a safe and effective treatment strategy. Assisted by femoro-femoral cardiopulmonary bypass oxygenation, a tracheal stent was implanted successfully. Following surgery there were no complications, and chemoradiotherapy resulted in the relief of obstructing symptoms and improved the quality of life of the patient. This case indicates that femoro‑femoral cardiopulmonary bypass provides adequate oxygen support to undergo further management and that tracheal stent implant is an effective emergent measure to relieve severe airway obstruction in patients with poorly differentiated thyroid carcinoma.
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