Alzahrani Rajab Ahmed
Otorhinolaryngology Division, Surgery Department, Faculty of Medicine, Al-Baha University, Al-Baha, Saudi Arabia.
Int J Surg Case Rep. 2024 Aug;121:110042. doi: 10.1016/j.ijscr.2024.110042. Epub 2024 Jul 16.
Referred Otalgia is very unlikely to be the first presentation of thyroid carcinoma, however, it is important to examine thyroid in cases of otalgia lacking any evidence of primary origin.
We report five cases of thyroid carcinoma, variant types, presented by secondary otalgia in Al-Baha region, KSA followed by proper surgery and patient relief during the last eight years. Patients' ages ranged from 25 to 65 years old.
Thyroid inflammation, including acute and subacute thyroiditis, was reported as a possible cause of the pain referred to the ear and the angle of the mandible, however otalgia caused by thyroid cancer is an extremely rare presentation.
Otolaryngologists should be aware that thyroid cancer may be associated with otalgia in any age group, however extremely rare. With very limited sources for this clinical entity, we recommend further studies on the different varieties of thyroid cancer presentations and the possibilities of the unexplained otalgia.
牵涉性耳痛极不可能是甲状腺癌的首发症状，然而，在缺乏任何原发性病因证据的耳痛病例中，检查甲状腺很重要。
我们报告了沙特阿拉伯王国巴哈地区过去八年间因牵涉性耳痛就诊的五例甲状腺癌变异型病例，随后均接受了适当手术，患者症状缓解。患者年龄在25至65岁之间。
甲状腺炎症，包括急性和亚急性甲状腺炎，被报告为耳部及下颌角牵涉痛的可能原因，然而甲状腺癌引起的耳痛是极其罕见的表现。
耳鼻喉科医生应意识到，甲状腺癌可能与任何年龄组的耳痛相关，尽管极为罕见。鉴于关于这一临床实体的资料非常有限，我们建议对甲状腺癌的不同表现形式以及不明原因耳痛的可能性进行进一步研究。
