Prognostic Value of Thyroidectomy and Tracheostomy in Anaplastic Thyroid Carcinoma

Authors

  • Carlo Victorio L. Garcia Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila https://orcid.org/0000-0003-2846-8636
  • Arsenio Claro A. Cabungcal Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila https://orcid.org/0000-0002-0451-9489
  • Alfredo Quintin Y. Pontejos, Jr. Department of Otorhinolaryngology Philippine General Hospital University of the Philippines Manila https://orcid.org/0000-0002-6422-296X

DOI:

https://doi.org/10.32412/pjohns.v35i1.1281

Keywords:

anaplastic thyroid cancer, thyroidectomy, tracheostomy, survival

Abstract

ABSTRACT

Objective: To determine the prognostic value of surgical interventions done among patients with anaplastic thyroid carcinoma (ATC)

Methods: A five-year retrospective chart review of 25 patients was done and baseline characteristics determined. Patients discharged alive as of the time of last chart entry were followed up by phone interview or personal visit. Overall survival was the main outcome measure which was plotted as Kaplan-Meier estimates and compared via log-rank test. The incidence of complications surrounding tracheostomy and thyroidectomy were also noted.

Methods:

Design: Ambispective Cohort Study

Setting: Tertiary National University Hospital

Participants: All private and public (charity) patients seen at the wards or clinics diagnosed with ATC via fine needle cytology or tissue histopathology.

Results: All patients presented with either stage IV-B or stage IV-C disease. A significant difference in survival curves was noted when comparing between the two stages (p<.05). Subgroup analysis per stage revealed no significant difference in overall survival when comparing patients who did not undergo surgery, those who underwent tracheostomy or those who underwent thyroidectomy for both IV-B (p=.244) or IV-C (p=.165) disease. The incidence of complications for tracheostomy was 60%, the most common being mucus plugging. For thyroidectomy, the incidence of complications was 80% with hypocalcemia being the most common> <.05). Subgroup analysis per stage revealed no significant difference in overall survival when comparing patients who did not undergo surgery, those who underwent tracheostomy or those who underwent thyroidectomy for both IV-B (p=.244) or IV-C (p=.165) disease. The incidence of complications for tracheostomy was 60%, the most common being mucus plugging. For thyroidectomy, the incidence of complications was 80% with hypocalcemia being the most common.

Conclusion: The current available data fails to demonstrate any significant survival advantage of tracheostomy or thyroidectomy when performed among similarly staged patients.

Keywords: anaplastic thyroid cancer; thyroidectomy; tracheostomy; survival

Downloads

Download data is not yet available.

Downloads

Published

2020-05-17

How to Cite

1.
Garcia CV, Cabungcal AC, Pontejos AQ. Prognostic Value of Thyroidectomy and Tracheostomy in Anaplastic Thyroid Carcinoma. Philipp J Otolaryngol Head Neck Surg [Internet]. 2020 May 17 [cited 2025 Feb. 11];35(1):46-50. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/1281

Issue

Vol. 35 No. 1 (2020): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Original Articles

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.