Tracheal stenosis and recurrent nerve paralysis due to thyroid malignant lymphoma with huge chronic thyroiditis.

Takeshi Kusunoki,Satoko Kubo,Katsuhisa Ikeda,Yoshinobu Kidokoro,Hirotomo Homma,Akihisa Yoshikawa,Kumiko Tanaka,Ryo Wada

doi:10.4081/cp.2020.1276

Takeshi Kusunoki, Satoko Kubo + Show 6 more

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https://doi.org/10.4081/cp.2020.1276

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Abstract

We experienced a case of huge chronic thyroiditis with malignant lymphoma that caused dyspnea with tracheal stenosis, dysphagia with esophagus stenosis and recurrent nerve paralysis. In this case, thyroidectomy was performed and, after the surgery, there was no sign of breathing or swallowing difficulties, and it was confirmed by the postoperative computed tomography that the tracheal stenosis had improved. We considered two possible explanations for the preoperative right recurrent nerve paralysis. In the first, the right recurrent nerve could have suffered from mechanical stimulation such as compression and traction to the recurrent nerve due to enlargement of the malignant lymphoma together with chronic thyroiditis. The second possible explanation was that malignant cells had invaded neurons. We could not distinguish between the two possibilities, since this right recurrent nerve was spared and could not be examined histopathologically.

Highlights

We present a case of an 84-year old, Japanese male patient, complaining for breathing difficulty and hoarseness
The patient had been administered thy- Conflicts of interests: The authors have no University of Medicine, Faculty of Medicine, Tokyo, Japan nly Abstract o We experienced a case of huge chronic e thyroiditis with malignant lymphoma that s caused dyspnea with tracheal stenosis, dysu phagia with esophagus stenosis and recurl rent nerve paralysis
We considered three potential causes of the right vocal cord paralysis as follows: i) A merger of idiopathic recurrent nerve paralysis; ii) The inflammation from the chronic thyroiditis might have spread, causroidism [freeT3: 2.5 pg/mL As a

Summary

Introduction

We present a case of an 84-year old, Japanese male patient, complaining for breathing difficulty and hoarseness. The patient had been administered thy- Conflicts of interests: The authors have no University of Medicine, Faculty of Medicine, Tokyo, Japan nly Abstract o We experienced a case of huge chronic e thyroiditis with malignant lymphoma that s caused dyspnea with tracheal stenosis, dysu phagia with esophagus stenosis and recurl rent nerve paralysis. The right recurrent nerve could m have suffered from mechanical stimulation o such as compression and traction to the c recurrent nerve due to enlargement of the - malignant lymphoma together with chronic n thyroiditis.

Results

Conclusion