J Korean Thyroid Assoc.  2013 May;6(1):85-87. 10.11106/jkta.2013.6.1.85.

Giant Thyroid Cancer in Elderly Patient

• Park MW
• Jung KY
• Baek SK

• KMID: 1428459
• DOI: http://doi.org/10.11106/jkta.2013.6.1.85

Abstract

Age may be one of the important factors which influence the decision for treatment of thyroid cancer in elderly patients. In addition, although thyroid surgery is generally considered as the procedure with low morbidity, a variety of complications can occur with serious consequences in patients with huge thyroid cancer. We report a case of giant thyroid cancer in elderly patient.

Keyword

Thyroid neoplasms; Thyroidectomy

MeSH Terms

Aged
Humans
Thyroid Gland
Thyroid Neoplasms
Thyroidectomy

Figure

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  Fig. 1. Physical findings. (A) About 40 cm sized lobulated, dense, fixed, non-tender mass is seen on left side of neck. (B) Laryngoscopic finding shows right-deviated larynx and left vocal cord palsy.

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  Fig. 2. Preoperative neck CT. It shows diffusely calcified mass on left thyroid gland and large cystic and exophytic neck masses on left lateral neck. These masses make a trachea shift to contralateral side and extrinsic compression against left internal jugular vein.

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  Fig. 3. The resected thyroid gland and huge lateral neck mass.

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  Fig. 4. (A) Gastrofiberscopic examination shows esophageal fistula (arrow). (B) Right bronchial aspiration is seen on esophagography and (C) after injection laryngoplasty, there was no sign of bronchial aspiration.

Reference

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