A Case of Occult Papillary Carcinoma of Thyroid, Invaded Trachea and Esophagus.
10.4046/trd.1997.44.5.1125
- Author:
Deok Su CHO
1
;
Byung Yi AHN
;
Hyung Tae OH
;
Deok Su LEE
;
Dong Ho HAN
;
Sang Young KIM
;
Kwi Wan KIM
Author Information
1. Department of Internal, Presbyterian Medical Center, Chun ju, Korea.
- Publication Type:Case Report
- Keywords:
Occult papillary carcinoma;
Blood-borne metastasis
- MeSH:
Adenocarcinoma, Papillary;
Aged;
Biopsy;
Bronchoscopy;
Carcinoma, Papillary*;
Deglutition Disorders;
Dyspnea;
Esophagus*;
Fascia;
Head;
Hoarseness;
Humans;
Iodine;
Lymph Nodes;
Male;
Mediastinum;
Neck;
Neoplasm Metastasis;
Prognosis;
Spine;
Thyroid Gland*;
Thyroid Neoplasms;
Trachea*
- From:Tuberculosis and Respiratory Diseases
1997;44(5):1125-1131
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Occult papillary adenocarcinoma of the thyroid is known to be indolent, slow metastatic, and has a good prognosis. Occult thyroid carcinoma presenting as a blood-borne metastasis without obvious cervical lymph node involvement is extremely rare. A 65-year-old male patient was visited for hoarseness, dysphagia, and shortness of breath. Bronchoscopy with biopsy revealed a papillary carcinoma of thyroid by immunohistochemical staining. Head & neck CT revealed that involving both the upper esophagus and the posterior tracheal wall, extending into the mediastinum along the upper thoracic spine at T1-T2. We have experienced a rare case of occult papillary carcinoma which invaded the trachea, esophagus and fascia of thoracic spine. Treatment was initiated with radioactive iodine and external bean therapy.
