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Papillary thyroid carcinoma in intrathoracic goiter

Author(s): Ignjatović Mile D. | Cerović Snežana J. | Stanić Vojkan | Ćuk Vladimir M. | Kostić Zoran | Bokun Radojka

Journal: Acta Chirurgica Iugoslavica
ISSN 0354-950X

Volume: 50;
Issue: 3;
Start page: 85;
Date: 2003;
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Keywords: Thyroid neoplasms | goiter | intrathoracic | intrathoracic compressive syndrome | superior vena cava syndrome | nervecompression syndromes

Intrathoracic goiter (more than 80% of tissue in the thoracic cavity) represents very rare clinical entity (less than 1% of total number of thyroid gland surgical procedures). Cancer incidence in these goiter is 0-5%. The aim of this article is to present a case report of intrathoracic thyroid papillary carcinoma with multiple compressive syndrome and review of compressive intrathoracic syndrome of thyroid etiology. In our patient we have found: tracheal and oesophageal deviation and compression, superior vena cava syndrome, downhill varices, chylothorax, pericardial effusion, compress of the left a. subclavia, unilateral lesion of recurrent and phrenic nerve, and brachial plexopathy. This was a unique case with multiple compressive syndrome between 3000 patients surgically treated for all kinds of thyroid deceases. Intrathoracic goiter can cause all the known symptoms and syndromes of intrathoracic compression with possibility of rapid deterioration and fatal end.

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