Invasion of the air passage, especially with intraluminal involvement of well-differentiated @entity259 , is rare. Establishing a patent airway before surgery is necessary, but difficult and risky. We report a case of @entity259 with intraluminal invasion of the @entity825 . A 62-year-old @entity161 @entity1 presented with blood-tinged sputum and @entity1353 . She had undergone a thyroid lobectomy 8 years previously. Computed tomography and bronchoscopy showed a protruding mass in the upper @entity825 and limited movement of the bilateral vocal folds. Emergency tracheostomy was performed to relieve impending @entity386 . Fine-needle aspiration of the left protruding thyroid gland showed @entity1377 . Because the @entity5 diffusely infiltrated the thyroid gland and intermingled with @entity82 due to the previous thyroid operation, and because there was limited movement of bilateral vocal folds, the @entity1 underwent total laryngectomy, total thyroidectomy, total parathyroidectomy, and tracheal resection. Neither radioactive @entity1496 nor external irradiation were given because of anticipated poor compliance due to @entity161 . The postoperative course was smooth and thyroid hormone and @entity460 were supplemented regularly. The @entity1 has lived well and without local recurrence for more than 3 years since the operation. She can speak with an artificial larynx.

Intraluminal involvement of XXXX in the @entity825 .

@entity825 :: ('MESH:D055090', 'Disease') :: ['trachea'] @entity1 :: ('9606', 'Species') :: ['woman', 'patient'] @entity1377 :: ('MESH:D002291', 'Disease') :: ['papillary carcinoma'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity1496 :: ('MESH:D007455', 'Chemical') :: ['iodine'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity161 :: ('MESH:D012559', 'Disease') :: ['schizophrenic', 'schizophrenia'] @entity460 :: ('MESH:D002118', 'Chemical') :: ['calcium'] @entity259 :: ('MESH:D013964', 'Disease') :: ['thyroid cancer', 'thyroid carcinoma'] @entity386 :: ('MESH:D001049', 'Disease') :: ['apnea']
@entity259 :: (MESH:D013964,Disease) :: ['thyroid cancer']
