Surgical management of locally advanced thyroid cancer (narrative review)

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Abstract

A review of the literature on the problem of surgical treatment of local invasive thyroid cancer with damage to surrounding structures is presented. The comparative characteristics of various surgical tactics for the invasion of highly differentiated thyroid cancer into recurrent guttural nerves, larynx and trachea, esophagus have been performed. The advantage of intraoperative neuromonitoring was shown when deciding whether to retain the recurrent laryngeal nerve in the presence of invasion. The systems of staging of laryngotracheal invasion depending on the degree of its spread and surgical tactics used for each degree of laryngotracheal invasion are considered.

About the authors

Z. A.-G. Radzhabova

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia.

Author for correspondence.
Email: radzam@mail.ru
ORCID iD: 0000-0002-6895-0497

68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg, 197758

Russian Federation

M. A. Kotov

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia.

Email: radzam@mail.ru
ORCID iD: 0000-0002-2586-1240
68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg, 197758 Russian Federation

S. S. Artemiev

N.N. Petrov National Medical Research Center of Oncology, Ministry of Health of Russia.

Email: radzam@mail.ru
ORCID iD: 0000-0002-7223-3634
68 Leningradskaya St., Pesochnyy Settlement, Saint Petersburg, 197758 Russian Federation

M. A. Radzhabova

S.M. Kirov Military Medical Academy, Ministry of Defense of Russia.

Email: radzam@mail.ru

6 Akademica Lebedeva St., Saint Petersburg, 194044

Russian Federation

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