Direct Invasion of Thyroid Papillary Carcinoma to Esophagus Presenting as an Intraluminal Polypoid Mass Which Causes Hematemesis.
- Author:
Min Young LEE
1
;
Sang Eok KIM
;
Hak Chan KIM
;
Seung Hae HAN
;
Dong Hoon SHIN
;
Do Hyoung KIM
;
In Gyun OH
;
Byoung Youp KIM
;
Woo Jin LEE
;
June Sung LEE
;
Hyun Wook BAIK
;
Young Bin JEON
Author Information
1. Department of Internal Medicine, Hanil Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Hematemesis;
Thyroid papillary cancer;
Esophageal invasion
- MeSH:
Carcinoma, Papillary*;
Diagnosis, Differential;
Esophagoscopy;
Esophagus*;
Hematemesis*;
Humans;
Physical Examination;
Thorax;
Thyroid Gland*;
Thyroid Nodule
- From:Korean Journal of Gastrointestinal Endoscopy
2001;23(6):466-469
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report an unusual case of metastatic thyroid papillary carcinoma directly invades the esophagus presenting as an intraluminal polypoid mass which causes hematemesis. The patient had a past medical history of thyroid nodule. Physical examination was unremarkable except the palpable thyroid mass. Esophagoscopy and esophagography revealed an intraluminal polypoid mass to the left of the cervical esophagus. Chest computed tomography showed round, homogenous, well-enhancing mass and calcifying thyroid nodule is found in front of the mass. Thyroid lobectomy and partial esophageal resection was performed. Microscopic finding showed typical features of thyroid papillary carcinoma. Metastatic thyroid papillary carcinoma should be included in the differential diagnosis of an intraluminal polypoid esophageal mass, particularly if the patient has a known thyroid tumor.
