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Use of tracheal stenting in the palliation of anaplastic thyroid carcinoma: tertiary centre experience
Anaplastic thyroid carcinoma is rare but carries a poor prognosis. Anaplastic thyroid carcinoma leads to tracheal compression, airway compromise and eventually death. Airway compromise, a particularly distressing symptom, can be palliated with tracheal stenting. A retrospective case note analysis wa...
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| Published in: | Journal of laryngology and otology 2015-06, Vol.129 (6), p.568-571 |
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| creator | Varadharajan, K Mathew, R Odutoye, B Williamson, P Madden, B |
| description | Anaplastic thyroid carcinoma is rare but carries a poor prognosis. Anaplastic thyroid carcinoma leads to tracheal compression, airway compromise and eventually death. Airway compromise, a particularly distressing symptom, can be palliated with tracheal stenting.
A retrospective case note analysis was conducted of patients diagnosed with anaplastic thyroid carcinoma between July 2003 and July 2013.
Twelve patients with anaplastic thyroid carcinoma were identified. Four patients underwent palliative tracheal stenting. Three patients had no dyspnoea at the time of stenting. Two stented patients subsequently developed dyspnoea secondary to stent migration; this was managed successfully with stent exchange. The other stented patient remained asymptomatic with regards to dyspnoea. All non-stented patients died with or from airway compromise.
Tracheal stenting is a relatively safe and effective method for palliation of distressing airway symptoms in patients with anaplastic thyroid carcinoma. Early prophylactic tracheal stenting in anaplastic thyroid carcinoma may be an effective option to prevent development of airway compromise as the disease progresses. |
| doi_str_mv | 10.1017/S0022215115001103 |
| format | article |
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A retrospective case note analysis was conducted of patients diagnosed with anaplastic thyroid carcinoma between July 2003 and July 2013.
Twelve patients with anaplastic thyroid carcinoma were identified. Four patients underwent palliative tracheal stenting. Three patients had no dyspnoea at the time of stenting. Two stented patients subsequently developed dyspnoea secondary to stent migration; this was managed successfully with stent exchange. The other stented patient remained asymptomatic with regards to dyspnoea. All non-stented patients died with or from airway compromise.
Tracheal stenting is a relatively safe and effective method for palliation of distressing airway symptoms in patients with anaplastic thyroid carcinoma. Early prophylactic tracheal stenting in anaplastic thyroid carcinoma may be an effective option to prevent development of airway compromise as the disease progresses.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215115001103</identifier><identifier>PMID: 25990193</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Aged ; Aged, 80 and over ; Airway management ; Airway Obstruction - diagnosis ; Airway Obstruction - etiology ; Airway Obstruction - surgery ; Asymptomatic ; Dyspnea ; Female ; Humans ; Main Articles ; Male ; Medical prognosis ; Metastasis ; Middle Aged ; Multidisciplinary teams ; Neoplasm Staging ; Palliative Care - methods ; Patients ; Radiation therapy ; Retrospective Studies ; Stents ; Thyroid cancer ; Thyroid Carcinoma, Anaplastic - complications ; Thyroid Carcinoma, Anaplastic - diagnosis ; Thyroid Carcinoma, Anaplastic - surgery ; Thyroid Neoplasms - complications ; Thyroid Neoplasms - diagnosis ; Thyroid Neoplasms - surgery ; Tomography, X-Ray Computed ; Trachea - surgery</subject><ispartof>Journal of laryngology and otology, 2015-06, Vol.129 (6), p.568-571</ispartof><rights>Copyright © JLO (1984) Limited 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-14eed3c8113f74bd4a1288fe0161a40fab1fdf0ab2083d09440c6f86e87a6ee73</citedby><cites>FETCH-LOGICAL-c406t-14eed3c8113f74bd4a1288fe0161a40fab1fdf0ab2083d09440c6f86e87a6ee73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215115001103/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,72832</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25990193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Varadharajan, K</creatorcontrib><creatorcontrib>Mathew, R</creatorcontrib><creatorcontrib>Odutoye, B</creatorcontrib><creatorcontrib>Williamson, P</creatorcontrib><creatorcontrib>Madden, B</creatorcontrib><title>Use of tracheal stenting in the palliation of anaplastic thyroid carcinoma: tertiary centre experience</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>Anaplastic thyroid carcinoma is rare but carries a poor prognosis. Anaplastic thyroid carcinoma leads to tracheal compression, airway compromise and eventually death. Airway compromise, a particularly distressing symptom, can be palliated with tracheal stenting.
A retrospective case note analysis was conducted of patients diagnosed with anaplastic thyroid carcinoma between July 2003 and July 2013.
Twelve patients with anaplastic thyroid carcinoma were identified. Four patients underwent palliative tracheal stenting. Three patients had no dyspnoea at the time of stenting. Two stented patients subsequently developed dyspnoea secondary to stent migration; this was managed successfully with stent exchange. The other stented patient remained asymptomatic with regards to dyspnoea. All non-stented patients died with or from airway compromise.
Tracheal stenting is a relatively safe and effective method for palliation of distressing airway symptoms in patients with anaplastic thyroid carcinoma. Early prophylactic tracheal stenting in anaplastic thyroid carcinoma may be an effective option to prevent development of airway compromise as the disease progresses.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Airway management</subject><subject>Airway Obstruction - diagnosis</subject><subject>Airway Obstruction - etiology</subject><subject>Airway Obstruction - surgery</subject><subject>Asymptomatic</subject><subject>Dyspnea</subject><subject>Female</subject><subject>Humans</subject><subject>Main Articles</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Multidisciplinary teams</subject><subject>Neoplasm Staging</subject><subject>Palliative Care - methods</subject><subject>Patients</subject><subject>Radiation therapy</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Thyroid cancer</subject><subject>Thyroid Carcinoma, Anaplastic - complications</subject><subject>Thyroid Carcinoma, Anaplastic - diagnosis</subject><subject>Thyroid Carcinoma, Anaplastic - surgery</subject><subject>Thyroid Neoplasms - complications</subject><subject>Thyroid Neoplasms - diagnosis</subject><subject>Thyroid Neoplasms - surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Trachea - surgery</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kc1u1TAQRi1URC-FB2CDLHXDJjCTOInTHarKj1SJBXQdTZxx6ypxUttXat8eR72gqoiVF9-ZM54ZId4hfETA9tNPgLIssUasARCheiF22Cpd1KqBI7Hb4mLLj8XrGG8hQy2Ur8RxWXcdYFfthL2KLBcrUyBzwzTJmNgn56-l8zLdsFxpmhwlt_gNI0_rRDE5k8OHsLhRGgrG-WWmM5k4JEfhQZrsCCz5fuXg2Bt-I15amiK_Pbwn4urLxa_zb8Xlj6_fzz9fFkZBkwpUzGNlNGJlWzWMirDU2jJgg6TA0oB2tEBDCboaoVMKTGN1w7qlhrmtTsSHR-8alrs9x9TPLhqeJvK87GOPje4qhEarjJ4-Q2-XffD5d33eEoAGXW8UPlImLDEGtv0a3Jxn7BH67Qj9P0fINe8P5v0w8_i34s_WM1AdpDQPwY3X_KT3f7W_AcEEkQY</recordid><startdate>20150601</startdate><enddate>20150601</enddate><creator>Varadharajan, K</creator><creator>Mathew, R</creator><creator>Odutoye, B</creator><creator>Williamson, P</creator><creator>Madden, B</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20150601</creationdate><title>Use of tracheal stenting in the palliation of anaplastic thyroid carcinoma: tertiary centre experience</title><author>Varadharajan, K ; Mathew, R ; Odutoye, B ; Williamson, P ; Madden, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c406t-14eed3c8113f74bd4a1288fe0161a40fab1fdf0ab2083d09440c6f86e87a6ee73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Airway management</topic><topic>Airway Obstruction - diagnosis</topic><topic>Airway Obstruction - etiology</topic><topic>Airway Obstruction - surgery</topic><topic>Asymptomatic</topic><topic>Dyspnea</topic><topic>Female</topic><topic>Humans</topic><topic>Main Articles</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Multidisciplinary teams</topic><topic>Neoplasm Staging</topic><topic>Palliative Care - methods</topic><topic>Patients</topic><topic>Radiation therapy</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Thyroid cancer</topic><topic>Thyroid Carcinoma, Anaplastic - complications</topic><topic>Thyroid Carcinoma, Anaplastic - diagnosis</topic><topic>Thyroid Carcinoma, Anaplastic - surgery</topic><topic>Thyroid Neoplasms - complications</topic><topic>Thyroid Neoplasms - diagnosis</topic><topic>Thyroid Neoplasms - surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Trachea - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Varadharajan, K</creatorcontrib><creatorcontrib>Mathew, R</creatorcontrib><creatorcontrib>Odutoye, B</creatorcontrib><creatorcontrib>Williamson, P</creatorcontrib><creatorcontrib>Madden, B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Varadharajan, K</au><au>Mathew, R</au><au>Odutoye, B</au><au>Williamson, P</au><au>Madden, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of tracheal stenting in the palliation of anaplastic thyroid carcinoma: tertiary centre experience</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2015-06-01</date><risdate>2015</risdate><volume>129</volume><issue>6</issue><spage>568</spage><epage>571</epage><pages>568-571</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>Anaplastic thyroid carcinoma is rare but carries a poor prognosis. Anaplastic thyroid carcinoma leads to tracheal compression, airway compromise and eventually death. Airway compromise, a particularly distressing symptom, can be palliated with tracheal stenting.
A retrospective case note analysis was conducted of patients diagnosed with anaplastic thyroid carcinoma between July 2003 and July 2013.
Twelve patients with anaplastic thyroid carcinoma were identified. Four patients underwent palliative tracheal stenting. Three patients had no dyspnoea at the time of stenting. Two stented patients subsequently developed dyspnoea secondary to stent migration; this was managed successfully with stent exchange. The other stented patient remained asymptomatic with regards to dyspnoea. All non-stented patients died with or from airway compromise.
Tracheal stenting is a relatively safe and effective method for palliation of distressing airway symptoms in patients with anaplastic thyroid carcinoma. Early prophylactic tracheal stenting in anaplastic thyroid carcinoma may be an effective option to prevent development of airway compromise as the disease progresses.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>25990193</pmid><doi>10.1017/S0022215115001103</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of laryngology and otology, 2015-06, Vol.129 (6), p.568-571 |
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| source | Cambridge University Press |
| subjects | Aged Aged, 80 and over Airway management Airway Obstruction - diagnosis Airway Obstruction - etiology Airway Obstruction - surgery Asymptomatic Dyspnea Female Humans Main Articles Male Medical prognosis Metastasis Middle Aged Multidisciplinary teams Neoplasm Staging Palliative Care - methods Patients Radiation therapy Retrospective Studies Stents Thyroid cancer Thyroid Carcinoma, Anaplastic - complications Thyroid Carcinoma, Anaplastic - diagnosis Thyroid Carcinoma, Anaplastic - surgery Thyroid Neoplasms - complications Thyroid Neoplasms - diagnosis Thyroid Neoplasms - surgery Tomography, X-Ray Computed Trachea - surgery |
| title | Use of tracheal stenting in the palliation of anaplastic thyroid carcinoma: tertiary centre experience |
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