Successful Treatment of Tracheal Invasion Caused by Thyroid Cancer Using Endotracheal Tube Balloon Inflation under Flexible Bronchoscopic Guidance

• Published in: Tuberculosis and respiratory diseases Vol. 77; no. 5; pp. 215 - 218
• Main Authors: Han, Yang-Hee, Jung, Bock-Hyun, Kwon, Jun Sung, Lim, Jaemin
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Tuberculosis and Respiratory Diseases 01.11.2014; 대한결핵및호흡기학회
• Subjects: Case Report; 내과학; Bronchoscopy; Endotracheal Intubation; Thyroid Neoplasms; Aged; Neoplasm Invasiveness; Trachea
• ISSN: 1738-3536; 2005-6184
• DOI: 10.4046/trd.2014.77.5.215

Tracheal invasion is an uncommon complication of thyroid cancer, but it can cause respiratory failure. A rigid bronchoscope may be used to help relieve airway obstruction, but general anesthesia is usually required. Tracheal balloon dilatation and stent insertion can be performed without general anesthesia, but complete airway obstruction during balloon inflation may be dangerous in some patients. Additionally, placement of the stent adjacent to the vocal cords can be technically challenging. An 86-year-old female patient with tracheal invasion resulting from thyroid cancer was admitted to our hospital because of worsening dyspnea. Due to the patient's refusal of general anesthesia and the interventional radiologist's difficulty in completing endotracheal stenting, we performed endotracheal tube balloon dilatation and argon plasma coagulation. We have successfully treated tracheal obstruction in the patient with thyroid cancer by using endotracheal tube balloon inflation and a flexible bronchoscope without general anesthesia or airway obstruction during balloon inflation.