Giant Thyroid Cancer in Elderly Patient

Woo Park Min; Jung Kwang-Yoon; Baek Seung-Kuk

doi:10.11106/jkta.2013.6.1.85

Journal List > J Korean Thyroid Assoc > v.6(1) > 1056547

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Min, Kwang-Yoon, and Seung-Kuk: Giant Thyroid Cancer in Elderly Patient

Original Article

J Korean Thyroid Assoc 2013;6(1):85-87.

Published online: 3 May 2013

DOI: https://doi.org/10.11106/jkta.2013.6.1.85

Giant Thyroid Cancer in Elderly Patient

Woo Park Min, Jung Kwang-Yoon, Baek Seung-Kuk

Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea

Address reprint requests to Seung-Kuk Baek, MD, PhD, Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, 126-1 Anam-dong 5-ga, Seongbuk-gu, Seoul 136-705, Korea Tel: 82-2-920-5486, Fax: 82-2-925-5233, E-mail: mdskbaek@gmail.com

Received 7 May 2013 Accepted 7 May 2013

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Thyroid neoplasms, Thyroidectomy

References

1. Agarwal A, Agarwal S, Tewari P, Gupta S, Chand G, Mishra A, et al. Clinicopathological profile, airway management, and outcome in huge multinodular goiters: an institutional experience from an endemic goiter region. World J Surg. 2012; 36(4):755–60.

2. Agarwal A, Mishra AK, Gupta SK, Arshad F, Tripathi M, Singh PK. High incidence of tracheomalacia in longstanding goiters: experience from an endemic goiter region. World J Surg. 2007; 31(4):832–7.

3. Abdel Rahim AA, Ahmed ME, Hassan MA. Respiratory complications after thyroidectomy and the need for tracheostomy in patients with a large goitre. Br J Surg. 1999; 86(1):88–90.

4. Lang BH, Lo CY. Total thyroidectomy for multinodular goiter in the elderly. Am J Surg. 2005; 190(3):418–23.

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.

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.

Fig. 3.

The resected thyroid gland and huge lateral neck mass.

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.

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