Page 2 of 2: Aiims Nov 2005: TOC for Anaplastic Ca of thyroid?

shraddha · Credits: 19600 My Scrapbook

since the tumour is infiltrating trachea and sternum it will soon cause respiratory embarrasment so shouldn't we do radical sx for palliation since it is not going to respond to chemo or radio therapy

wondergirl · Credits: 13337 My Scrapbook

since the tumour is already infiltrating the sternum and trachea,,,,nothing much can be done about it..
the correct management at this stage would be palliative/symptomatic treatment!

shraddha · Credits: 19600 My Scrapbook

this is what i found at
"http://www.aace.com/clin/guidelines/thyroid_carcinoma.pdf"

Local tumor control seems the most practical management of this aggressive neoplastic process, although each patient may require a different and individualized approach. The use of combination therapies to include preoperative irradiation and chemotherapy followed by aggressive local tumor resection may yield an increased duration of survival. Because of the high rate of metastatic disease found at diagnosis, however, provision of appropriate palliative measures and support may be more important.

i am still looking for a satisfactory answer

B&L says isthmusectomy should be done for tracheal compression

draditithegreat · Credits: 1248020 My Scrapbook

what ever u have mentioned so far is the part of palliation/symp treatment!!!
i feel so!!!

npshades · Credits: 809 My Scrapbook

yes isthumectomy is also a type of palliation
but it is possible in some cases only
take care

Vagus · Credits: 671 My Scrapbook

Yes Palliative treatment . Might be debulking surgery and radiotherapy with chemotherapy

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