TRACHEAL RESECTION FOR LOCALLY ADVANCED THYROID CANCER:A СLINICAL CASE

Relevance: Surgical treatment is the primary treatment for thyroid cancer, including locally advanced disease. The study aimed to demonstrate the possibility of performing extended surgery for locally advanced thyroid cancer with tracheal resection in a regional oncology center. Methods: This article describes a case of thyroidectomy with resection of 4 tracheal rings without the placement of a tracheostomy in the intra- and postoperative period. Results: Given the patient’s age and underlying medical conditions, there was a high risk of developing infectious complications that could have worsened her quality of life (requiring constant care and daily sanitation). The patient tolerated the surgery well, the anastomosis was intact, and she was discharged in satisfactory condition. Conclusion: Surgical treatment for locally advanced head and neck tumors is primarily performed at KazIOR and the Astana Multidisciplinary Medical Center. There is a category of patients who refuse or are unable to travel for treatment, not only to cities of national significance but also to regional centers. This category of patients should be provided with appropriate specialized care in regional centers. In this regard, it should be noted that cancer surgeons from peripheral oncology centers should improve their skills and knowledge in further extended operations for local thyroid tumors.