Sciumè Carmelo, Geraci Girolamo, Volsi Francesco Li, Pisello Franco, Cajozzo Massimo, Cocchiara Gerlando, Modica Giuseppe
Università di Palermo, Azienda Ospedaliera Policlinico "P. Giaccone" Dipartimento di Chirurgia Generale d'Urgenza e dei Trapianti d'Organo, Sezione di Chirurgia Generale ad Indirizzo Toracico.
Ann Ital Chir. 2006 Sep-Oct;77(5):429-32.
A case of acute wheezing causing primitive thyroid lymphoma observed ay the Operative Unit of General and Thoracic Surgery of the University "P Giaccone" of Palermo, Italy, is reported.
Diagnostic, clinical and prognostic indication, evaluation of effectveness of radical surgical treatment and follow-up.
Emergency radical surgical treatment (debulking) and surgical tracheostomy (tracheal infiltration).
Complete recovery with "restitutio ad integrum". No relapse were recorded ad short follow-up.
Total thyroidectomy in front of uncertain cytology with the suspect of Hashimoto' s treatment or acute wheezing or localized neoplasm (IE or IIE) is feasible and rationale. If possible, this treatment of choice must observe standard technique, with visualization and respect of four parathyroid glands and recurrent laryngeal nerves. This intervention has good prognosis and low morbidity and mortality in well experiences surgical teams of thyroid surgery.
报道意大利巴勒莫“P·贾科内”大学普通及胸外科手术单元观察到的一例因急性喘息导致原发性甲状腺淋巴瘤的病例。
诊断、临床及预后指征，根治性手术治疗有效性评估及随访。
急诊根治性手术治疗（肿瘤减量术）及手术气管切开术（气管浸润）。
完全康复至“原状”。短期随访未记录到复发情况。
在细胞学不确定、怀疑为桥本氏病、急性喘息或局限性肿瘤（IE期或IIE期）的情况下，全甲状腺切除术是可行且合理的。如有可能，这种首选治疗方法必须遵循标准技术，显露并保护四个甲状旁腺及喉返神经。在经验丰富的甲状腺手术团队中，该干预措施预后良好，发病率及死亡率较低。
