Carrión Valero F, Ferrer Gómez M C, Edo Esteban M J, Galán Gil G
Hospital de Sagunto y Centro de Especialidades, Valencia.
An Med Interna. 1996 Jun;13(6):282-4.
Follicular carcinoma of the thyroid is an uncommon neoplasm, whose diagnosis is usually established upon evaluating a thyroid nodule. However, on occasions it can be presented with symptoms derived from the adjacent structures' compression, as the trachea, since only it is presented in reduced number of patients with substernal goiter. We present a rare case of a woman 73 years-old, with follicular carcinoma of the thyroid, that consulted for 5 years-old evolution dyspnea and wheezing, without finding alterations in the initial roentgenogram of the chest. We comment the difficulty in the diagnosis of the upper airway obstruction when the roentgenogram of the chest is normal, and we comment the clinical and pulmonary function data that can lead us to suspect this disease.
甲状腺滤泡癌是一种罕见的肿瘤，其诊断通常基于对甲状腺结节的评估。然而，有时它会表现出因压迫相邻结构（如气管）而产生的症状，因为仅有少数胸骨后甲状腺肿患者会出现这种情况。我们报告了一例罕见病例，一名73岁女性患有甲状腺滤泡癌，因5年的渐进性呼吸困难和喘息前来就诊，最初的胸部X线检查未发现异常。我们讨论了胸部X线检查正常时诊断上气道梗阻的困难，并讨论了可能导致我们怀疑这种疾病的临床和肺功能数据。
