Abstract
Thyroid cancers invading the critical structures like trachea, oesophagus, recurrent laryngeal nerve and major vessels are uncommon. Even though uncommon, patients with large thyroid lesion (> 4 cm) or aggressive histology can present with features of invasion. Careful evaluation and appropriate surgical management is needed for optimal outcome. This case is presented to make our otolaryngology-head and neck surgeons aware of such unique situation where an incidental thyroid nodule presenting as haemoptysis due to tracheal invasion.
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References
Price DL, Wong RJ, Randolph GW (2008) Invasive thyroid cancer: management of the trachea and esophagus. Otolaryngol Clin N Am 41(6):1155–1168. https://doi.org/10.1016/j.otc.2008.08.002
Andersen PE, Kinsella J, Loree TR, Shaha AR, Shah JP (1995) Differentiated carcinoma of the thyroid with extrathyroidal extension. Am J Surg 170(5):467–470. https://doi.org/10.1016/S0002-9610(99)80331-6
Ortiz S, Rodríguez JM, Soria T et al (2001) Extrathyroid spread in papillary carcinoma of the thyroid: clinicopathological and prognostic study. Otolaryngol Neck Surg 124(3):261–265. https://doi.org/10.1067/mhn.2001.113141
McCaffrey TV, Bergstralh EJ, Hay ID (1994) Locally invasive papillary thyroid carcinoma: 1940–1990. Head Neck 16(2):165–172. https://doi.org/10.1002/hed.2880160211
Shin D-H, Mark EJ, Suen HC, Grillo HC (1993) Pathologic staging of papillary carcinoma of the thyroid with airway invasion based on the anatomic manner of extension to the trachea: a clinicopathologic study based on 22 patients who underwent thyroidectomy and airway resection. Hum Pathol 24(8):866–870. https://doi.org/10.1016/0046-8177(93)90136-5
Cody HS, Shah JP (1981) Locally invasive, well-differentiated thyroid cancer: 22 Years’ experience at memorial sloan-kettering cancer center. Am J Surg 142(4):480–483. https://doi.org/10.1016/0002-9610(81)90379-2
Park CS, Suh KW, Min JS (1993) Cartilage-shaving procedure for the control of tracheal cartilage invasion by thyroid carcinoma. Head Neck 15(4):289–291. https://doi.org/10.1002/hed.2880150403
Kowalski LP, Filho JG (2002) Results of the treatment of locally invasive thyroid carcinoma. Head Neck 24(4):340–344. https://doi.org/10.1002/hed.10058
Ozaki O, Sugino K, Mimura T, Ito K (1995) Surgery for patients with thyroid carcinoma invading the trachea: circumferential sleeve resection followed by end-to-end anastomosis. Surgery 117(3):268–271. https://doi.org/10.1016/S0039-6060(05)80200-4
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Parasuraman, L.N., Soundararajan, J.C.B. Haemoptysis: An Uncommon Presentation in an Incidental Thyroid Nodule—A Case Report. Indian J Otolaryngol Head Neck Surg 74 (Suppl 2), 2544–2548 (2022). https://doi.org/10.1007/s12070-020-02261-6
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DOI: https://doi.org/10.1007/s12070-020-02261-6