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Acute airway failure secondary to thyroid metastasis from renal carcinoma.

作者信息

Testini Mario, Lissidini Germana, Gurrado Angela, Lastilla Gaetano, Ianora Amato Stabile, Fiorella Raffaele

机构信息

Department of Applications in Surgery of Innovative Technologies; University Medical School of Bari, Italy.

出版信息

World J Surg Oncol. 2008 Feb 5;6:14. doi: 10.1186/1477-7819-6-14.

DOI:10.1186/1477-7819-6-14
PMID:18252002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2254624/
Abstract

BACKGROUND

Secondary involvement of the thyroid gland by malignant metastases is uncommon. Acute respiratory crisis due to infiltration of the upper airways is a recognised complication of anaplastic thyroid carcinoma or thyroid lymphoma. Renal cell carcinoma is a tumour that metastasizes diffusely and in an unpredictable manner.

CASE PRESENTATION

We report a case of a 73-year-old man with a painful neck mass, dyspnoea, stridor and dysphonia that was evaluated in emergency. A right radical nephrectomy for renal cell carcinoma was performed 8 years previously. An emergency endotracheal intubation was followed by total thyroidectomy. Histological examination confirmed the diagnosis of thyroid metastasis from renal cell carcinoma.

CONCLUSION

A literature review regarding emergency treatment for acute respiratory compromise resulting from secondary thyroid tumours was undertaken. Only two cases of metastatic colon cancer and one case of metastatic meningioma requiring emergency thyroidectomy for acute respiratory failure are reported in the literature. This appears to be the first case of emergency surgery performed for acute respiratory compromise due to thyroid metastasis from renal cell carcinoma.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2530/2254624/78d194d48bce/1477-7819-6-14-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2530/2254624/39f003aab797/1477-7819-6-14-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2530/2254624/78d194d48bce/1477-7819-6-14-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2530/2254624/39f003aab797/1477-7819-6-14-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2530/2254624/78d194d48bce/1477-7819-6-14-2.jpg

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引用本文的文献

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J Clin Transl Endocrinol. 2020 Feb 19;20:100221. doi: 10.1016/j.jcte.2020.100221. eCollection 2020 Jun.
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Characteristics of clear cell renal cell carcinoma metastases to the thyroid gland: A systematic review.

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