Airway management, symptom relief and best supportive care in anaplastic thyroid cancer Review


Authors: Moyer, K. F.; Marcadis, A. R.; Shaha, A. R.
Review Title: Airway management, symptom relief and best supportive care in anaplastic thyroid cancer
Abstract: PURPOSE OF REVIEW: Anaplastic thyroid cancer (ATC) is a rare but aggressive form of thyroid cancer that is associated with significant morbidity and mortality. Because ATC is locally invasive, airway management is a critical component of treating these patients. Timely decisions regarding airway interventions can contribute to symptom relief and supportive care for patients. Over the last decade, there has been a paradigm shift in our recommendations for airway management. The purpose of this review is to summarize airway management, symptom relief and best supportive care for patients with ATC. RECENT FINDINGS: More recent literature discusses the morbidities associated with tracheostomy and instead focuses on the benefits of supportive care and surgical resection. The multidisciplinary treating team should initiate early discussions for airway management, end-of-life care and palliative goals for patients with ATC. Tracheostomy should be offered to patients with careful thought and preoperative planning. SUMMARY: Our goal in symptom relief and airway management is to improve the quality of life of patients with ATC and avoid the unnecessary morbidity of tracheostomy until clinically indicated.
Journal Title: Current Opinion in Otolaryngology & Head and Neck Surgery
Volume: 28
Issue: 2
ISSN: 1068-9508
Publisher: Lippincott Williams & Wilkins  
Date Published: 2020-04-01
Start Page: 74
End Page: 78
Language: English
DOI: 10.1097/moo.0000000000000619
PUBMED: 32022733
PROVIDER: scopus
PMCID: PMC7360336
DOI/URL:
Notes: Article -- Export Date: 1 April 2020 -- Source: Scopus
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  1. Ashok R Shaha
    697 Shaha
  2. Kelly Fisher Moyer
    1 Moyer