Benign intratracheal thyroid : A possible cause for preoperative overstaging
Identifieur interne : 000815 ( PascalFrancis/Checkpoint ); précédent : 000814; suivant : 000816Benign intratracheal thyroid : A possible cause for preoperative overstaging
Auteurs : M. Brandwein [États-Unis] ; P. Som [États-Unis] ; M. Urken [États-Unis]Source :
- Archives of otolaryngology, head & neck surgery [ 0886-4470 ] ; 1998.
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Abstract
We report a rare case of intratracheal thyroid ectopia in the setting of papillary thyroid carcinoma, resulting in the preoperative clinical impression of an aggressive, high-stage tumor. A 24-year-old opera singer presented with complaints of a gagging or choking sensation. The results of computed tomography revealed a mass in the left thyroid lobe with multiple small calcifications consistent with papillary thyroid carcinoma as well as a soft tissue mass in the adjacent left tracheal lumen thought to be direct invasion by the thyroid tumor. A total thyroidectomy was performed including excision of half of the first and second tracheal cartilages and the lower portion of the hemicricoid cartilage. The final histological findings revealed that the intratracheal component was composed of benign thyroid tissue and strands of benign thyrocytes coursed through the first tracheal membrane. Intratracheal thyroid ectopia is a rare symptomatic occurrence with a striking female predisposition. We have identified 23 cases of intratracheal thyroid ectopia from the literature. They occur most often at the level of the cricoid, usually posteriorly with a slight predisposition for the left side. Continuity between the intratracheal component and the thyroid lobe may be seen. Clinicians and pathologists must be aware of this entity to avoid mistaking it for evidence of thyroid invasion by a malignant neoplasm.
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Urken</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Otolaryngology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">99-0002417</idno><date when="1998">1998</date><idno type="stanalyst">PASCAL 99-0002417 INIST</idno><idno type="RBID">Pascal:99-0002417</idno><idno type="wicri:Area/PascalFrancis/Corpus">000808</idno><idno type="wicri:Area/PascalFrancis/Curation">000C28</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000815</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Benign intratracheal thyroid : A possible cause for preoperative overstaging</title><author><name sortKey="Brandwein, M" sort="Brandwein, M" uniqKey="Brandwein M" first="M." last="Brandwein">M. Brandwein</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Pathology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Otolaryngology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Som, P" sort="Som, P" uniqKey="Som P" first="P." last="Som">P. Som</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Otolaryngology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Radiology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>2 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Urken, M" sort="Urken, M" uniqKey="Urken M" first="M." last="Urken">M. Urken</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Otolaryngology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Archives of otolaryngology, head & neck surgery</title><title level="j" type="abbreviated">Arch. otolaryngol. head neck surg.</title><idno type="ISSN">0886-4470</idno><imprint><date when="1998">1998</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Archives of otolaryngology, head & neck surgery</title><title level="j" type="abbreviated">Arch. otolaryngol. head neck surg.</title><idno type="ISSN">0886-4470</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bibliographic review</term><term>Case study</term><term>Classification</term><term>Computerized axial tomography</term><term>Concomitant disease</term><term>Ectopia</term><term>Female</term><term>Histopathology</term><term>Papillary carcinoma</term><term>Thyroid gland</term><term>Thyroidectomy</term><term>Trachea</term><term>Young adult</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Ectopie</term><term>Thyroïde</term><term>Trachée</term><term>Carcinome papillaire</term><term>Classification</term><term>Tomodensitométrie</term><term>Histopathologie</term><term>Thyroïdectomie</term><term>Etude cas</term><term>Association morbide</term><term>Adulte jeune</term><term>Femelle</term><term>Revue bibliographique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Classification</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We report a rare case of intratracheal thyroid ectopia in the setting of papillary thyroid carcinoma, resulting in the preoperative clinical impression of an aggressive, high-stage tumor. A 24-year-old opera singer presented with complaints of a gagging or choking sensation. The results of computed tomography revealed a mass in the left thyroid lobe with multiple small calcifications consistent with papillary thyroid carcinoma as well as a soft tissue mass in the adjacent left tracheal lumen thought to be direct invasion by the thyroid tumor. A total thyroidectomy was performed including excision of half of the first and second tracheal cartilages and the lower portion of the hemicricoid cartilage. The final histological findings revealed that the intratracheal component was composed of benign thyroid tissue and strands of benign thyrocytes coursed through the first tracheal membrane. Intratracheal thyroid ectopia is a rare symptomatic occurrence with a striking female predisposition. We have identified 23 cases of intratracheal thyroid ectopia from the literature. They occur most often at the level of the cricoid, usually posteriorly with a slight predisposition for the left side. Continuity between the intratracheal component and the thyroid lobe may be seen. Clinicians and pathologists must be aware of this entity to avoid mistaking it for evidence of thyroid invasion by a malignant neoplasm.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0886-4470</s0></fA01><fA02 i1="01"><s0>AONSEJ</s0></fA02><fA03 i2="1"><s0>Arch. otolaryngol. head neck surg.</s0></fA03><fA05><s2>124</s2></fA05><fA06><s2>11</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Benign intratracheal thyroid : A possible cause for preoperative overstaging</s1></fA08><fA11 i1="01" i2="1"><s1>BRANDWEIN (M.)</s1></fA11><fA11 i1="02" i2="1"><s1>SOM (P.)</s1></fA11><fA11 i1="03" i2="1"><s1>URKEN (M.)</s1></fA11><fA14 i1="01"><s1>Department of Pathology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Otolaryngology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Radiology, Mount Sinai School of Medicine</s1><s2>New York, NY</s2><s3>USA</s3><sZ>2 aut.</sZ></fA14><fA20><s1>1266-1269</s1></fA20><fA21><s1>1998</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>3041</s2><s5>354000070707590130</s5></fA43><fA44><s0>0000</s0><s1>© 1999 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>16 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>99-0002417</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i2="1"><s0>Archives of otolaryngology, head & neck surgery</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>We report a rare case of intratracheal thyroid ectopia in the setting of papillary thyroid carcinoma, resulting in the preoperative clinical impression of an aggressive, high-stage tumor. A 24-year-old opera singer presented with complaints of a gagging or choking sensation. The results of computed tomography revealed a mass in the left thyroid lobe with multiple small calcifications consistent with papillary thyroid carcinoma as well as a soft tissue mass in the adjacent left tracheal lumen thought to be direct invasion by the thyroid tumor. A total thyroidectomy was performed including excision of half of the first and second tracheal cartilages and the lower portion of the hemicricoid cartilage. The final histological findings revealed that the intratracheal component was composed of benign thyroid tissue and strands of benign thyrocytes coursed through the first tracheal membrane. Intratracheal thyroid ectopia is a rare symptomatic occurrence with a striking female predisposition. We have identified 23 cases of intratracheal thyroid ectopia from the literature. They occur most often at the level of the cricoid, usually posteriorly with a slight predisposition for the left side. Continuity between the intratracheal component and the thyroid lobe may be seen. 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Brandwein</name></region><name sortKey="Brandwein, M" sort="Brandwein, M" uniqKey="Brandwein M" first="M." last="Brandwein">M. Brandwein</name><name sortKey="Som, P" sort="Som, P" uniqKey="Som P" first="P." last="Som">P. Som</name><name sortKey="Som, P" sort="Som, P" uniqKey="Som P" first="P." last="Som">P. Som</name><name sortKey="Urken, M" sort="Urken, M" uniqKey="Urken M" first="M." last="Urken">M. Urken</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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