OBJECTIVES: Analyze the diagnosis and treatment of differentiated @entity259 with laryngo-tracheal invasion. MATERIALS AND METHODS: Among the 117 @entity1 operated for a differentiated @entity259 in the ENT department of Tours Hospital (France) between January 1990 and December 2003, seven presented laryngo-tracheal invasion and were included in this retrospective study. RESULTS: Laryngo-tracheal resection resulted in a thyroid cartilage-shaving in two @entity1 . We performed a resection of one side of the thyroid cartilage in one @entity1 , a thyro-tracheal resection- @entity254 with a partial cricoidectomy in one @entity1 , a partial vertical laryngectomy extended to the first @entity8276 in one @entity1 and a total laryngectomy in one @entity1 . No laryngo-tracheal resection was done in one @entity1 . Early complications were @entity1282 (n = 2), transitory @entity261 (n = 1), definitive recurrent @entity2895 (n = 2), @entity9285 and @entity1410 (n = 1) and @entity4820 (n = 1). Locoregional recurrences (n = 2) and distant @entity3 (n = 2) were discovered six months to four years after the laryngo-tracheal resection. With a mean follow-up of 40 month, four @entity1 were alive (two disease free) two @entity1 had died and one was lost of follow-up at three months. CONCLUSION: The frequency of locoregional recurrences and distant @entity3 is higher for the differentiated @entity259 with laryngo-tracheal invasion than the others. In these cases, we performed macroscopic carcinological surgery preserving laryngeal functions as much as possible.

[Differenciated XXXX with laryngo-tracheal invasion].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity9285 :: ('MESH:D013352', 'Disease') :: ['subcutaneous emphysema'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity2895 :: ('MESH:D015840', 'Disease') :: ['nerve paralysis'] @entity261 :: ('MESH:D007011', 'Disease') :: ['hypoparathyroidism'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematoma'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['swallowing disorders'] @entity8276 :: ('MESH:D014133', 'Disease') :: ['tracheal ring'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity259 :: ('MESH:D013964', 'Disease') :: ['thyroid carcinomas', 'thyroid carcinoma'] @entity4820 :: ('MESH:D006732', 'Disease') :: ["Claude Bernard-Horner's syndrome"]
@entity259 :: (MESH:D013964,Disease) :: ['thyroid carcinomas']
