Abord transoral d’une adénopathie rétropharyngée métastatique d’un carcinome thyroïdien papillaire

Laccourreye, L.; Breheret, R.; Rohmer, V.; Dubin, J.; Bizon, A.

doi:10.1016/j.aorl.2008.10.004

Cited by 11 publications

(12 citation statements)

References 9 publications

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“…These procedures carry rather high morbidity rates considering the relatively indolent nature of well-differentiated thyroid cancer [ 7 , 17 ]. Therefore, endoscopic-assisted transoral resection, including transoral robotic surgery for metastatic RPN from well-differentiated thyroid cancer, has recently been described [ 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Transoral Videolaryngoscopic Surgery for Retropharyngeal Lymph Node Metastasis of Papillary Thyroid Cancer

et al. 2017

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Background: Endoscopic-assisted transoral surgery, including transoral robotic surgery for metastatic retropharyngeal lymph node (RPN) from well-differentiated thyroid cancer, has been reported to reduce the complications resulting from transcervical and transmandibular approaches. However, the narrow working space and difficulty identifying RPN are problematic. To solve these issues, several studies have used intraoperative ultrasound in endoscopic-assisted transoral surgery. However, the type of ultrasonography suitable for this purpose remains unclear. Case Presentation: A 60-year-old female with thyroid papillary carcinoma (T4aN1bM0) initially underwent total thyroidectomy and paratracheal and selective neck dissections (D2a), with resectional management of recurrent laryngeal nerve, trachea, and esophagus. Three years later, she was diagnosed with left retropharyngeal and upper mediastinal lymph node metastases of papillary thyroid cancer. Transoral videolaryngoscopic surgery was performed with a combination of ultrasonography with a flexible laparoscopic transducer manipulated with forceps for identifying RPN intraoperatively. Due to the transducer’s small size and thin, flexible cable, the transducer interrupted the procedure in spite of the narrowness of oral cavity. RPN was resected completely without adverse events. Conclusion: We performed intraoperative ultrasound-guided endoscopic transoral surgery for metastatic RPN from papillary thyroid cancer and achieved complete resection as well as preservation of swallowing function.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Transoral Videolaryngoscopic Surgery for Retropharyngeal Lymph Node Metastasis of Papillary Thyroid Cancer

et al. 2017

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“…Several authors have safely performed similar surgeries. [2][3][4] Shellenberger et al reported the MD Anderson Cancer Center experience with this technique in three consecutive patients over 3 years. 2 Le and Cohen report their surgical technique applied to six patients over an 8-year period at Oregon Health and Science University.…”

Section: Discussionmentioning

confidence: 99%

“…3 Laccourreye et al report on a single case abroad. 4 As retropharyngeal nodal metastasis is commonly associated with recurrent disease in the setting of prior neck dissection, it is important to consider this possibility during patient follow-up visits. Otsuki et al reported on five patients with metastatic retropharyngeal node involvement of thyroid papillary carcinoma and suggested that neck dissection and/or metastatic cervical lymph nodes might alter the direction of lymphatic drainage to the retrograde fashion, resulting in the unusual metastasis to the retropharyngeal lymph nodes.…”

Section: Discussionmentioning

confidence: 99%

“…Several authors have already reported on the technique and shown it to be safe, rapidly feasible, minimally invasive, and with excellent functional outcomes. [2][3][4] In this article, we describe a case where the technique is assisted with the Omniguide CO 2 laser system (Omniguide, Cambridge, MA) to safely access and remove a metastatic node in the retropharyngeal space in a 24-year-old Caucasian woman. Furthermore, her disease was I-131-negative, but 18-fluoro-2-deoxyglucose (FDG) positron emission tomography (PET)-positive, implicating dedifferentiated histology and more aggressive biology further urging definitive surgery.…”

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confidence: 99%

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Transoral Surgical Approach for Retropharyngeal Node Involvement in I-131-Negative 18-fluoro-2-deoxyglucose Positron Emission Tomography–Positive Recurrent Thyroid Cancer

et al. 2009

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Transoral pharyngotomy is a viable minimally invasive approach for resection of metastatic thyroid cancer in retropharyngeal lymph nodes in highly select patients. A few authors have already reported on its safe application with excellent outcomes. We herein describe a case where the technique is assisted with the Omniguide CO 2 laser system to safely access and remove a metastatic node in the retropharyngeal space of a 24 year-old Caucasian woman. Furthermore, her disease was I-131-negative and positron emission tomography-positive, demonstrating the technique is still feasible in this dedifferentiated cancer state.

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“…23,26 The transoral approach to the lesions of the retropharynx has also been successfully utilized in several circumstances and has been shown to be safe with decreased morbidity compared with traditional approaches. 23,[26][27][28][29][30] There are several surgical techniques that have been utilized for transoral tumor access such as transpalatal approach for superior tumor access and the use of a mouth retractor such as in our case. More recently, the microscope and robotic technology have added enhanced magnification, visualization, and dexterity within the posterior oral cavity and oropharynx.…”

Section: Discussionmentioning

confidence: 99%

Transoral Resection of a Retropharyngeal Myxoma: A Case Report

White¹,

Weiss²,

Walvekar³

et al. 2011

Skull Base

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This study was conducted to describe a retropharyngeal myxoma and discuss clinical concerns regarding this pathology and a retropharyngeal site of occurrence. We present a case report and review of literature. A 71-year-old woman presented with mild right neck pressure for 3 weeks. Imaging studies and head neck examination confirmed a 5.3 Â 3.1 Â 1.0 cm retropharyngeal mass with no communication to the vertebral column but was intimately involved with the pharyngeal mucosa. A transoral fine needle aspiration biopsy suggested a possible spindle cell neoplasm. A presurgical swallowing consultation was obtained. A transoral excision of the tumor was possible with no intraoperative complications. Histopathology was a cellular myxoma. Postoperative dysphagia required swallowing therapy and nasogastric tube feeding for 2 weeks before oral intake was possible. The patient has no evidence of clinical or radiological recurrence more than 1 year after surgical intervention. We present the second case of a myxoma in the retropharynx reported in English literature. Transoral excision was safe, feasible, and cosmetically appealing option in our patient. Additional clinical data are required to valid its safety and utility as an approach to tumors in the retropharynx. Postoperative dysphagia can be significant and consequently we recommend preoperative swallowing evaluation and counseling.

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Abord transoral d’une adénopathie rétropharyngée métastatique d’un carcinome thyroïdien papillaire

Cited by 11 publications

References 9 publications

Ultrasound-Guided Transoral Videolaryngoscopic Surgery for Retropharyngeal Lymph Node Metastasis of Papillary Thyroid Cancer

Ultrasound-Guided Transoral Videolaryngoscopic Surgery for Retropharyngeal Lymph Node Metastasis of Papillary Thyroid Cancer

Transoral Surgical Approach for Retropharyngeal Node Involvement in I-131-Negative 18-fluoro-2-deoxyglucose Positron Emission Tomography–Positive Recurrent Thyroid Cancer

Transoral Resection of a Retropharyngeal Myxoma: A Case Report

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