Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge
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Publication Date: | 2020 |
Other Authors: | , , , |
Format: | Article |
Language: | eng |
Source: | MedNEXT Journal of Medical and Health Sciences |
Download full: | https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/6 |
Summary: | A 73-year-old Chinese origin woman presented with a right neck swelling associated with recent swallowing issues and hoarseness. She had an apparent goitre and a right posterior neck swelling. An ultrasound guided fine needle aspiration demonstrated papillary thyroid carcinoma in both thyroid lobes and right neck lymphadenopathy. While awaiting total thyroidectomy and neck dissection she presented with haemoptysis. She was found to have an exophytic mass in right pyriform fossa. The CT scan confirmed an intralaryngeal extension of the thyroid mass via thyroid cartilage and metastatic disease in the lung. Unexpectedly histology showed that the tissue from the right pyriform fossa was squamous cell carcinoma and papillary carcinoma in the thyroid was confirmed. She had synchronous cancers in the thyroid and hypopharynx. Synchronous tumours are a big challenge to diagnose and to treat. In her case the CT scan was misleading. We discuss this unusual presentation of synchronous head and neck cancers and difficulty in managing them. |
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Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challengeEarNose and ThroatThyroid cancerSquamous cell carcinomaSynchronousHead and neck cancerOncology A 73-year-old Chinese origin woman presented with a right neck swelling associated with recent swallowing issues and hoarseness. She had an apparent goitre and a right posterior neck swelling. An ultrasound guided fine needle aspiration demonstrated papillary thyroid carcinoma in both thyroid lobes and right neck lymphadenopathy. While awaiting total thyroidectomy and neck dissection she presented with haemoptysis. She was found to have an exophytic mass in right pyriform fossa. The CT scan confirmed an intralaryngeal extension of the thyroid mass via thyroid cartilage and metastatic disease in the lung. Unexpectedly histology showed that the tissue from the right pyriform fossa was squamous cell carcinoma and papillary carcinoma in the thyroid was confirmed. She had synchronous cancers in the thyroid and hypopharynx. Synchronous tumours are a big challenge to diagnose and to treat. In her case the CT scan was misleading. We discuss this unusual presentation of synchronous head and neck cancers and difficulty in managing them. Faceres2020-11-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionCase Studyapplication/pdfhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/610.34256/mdnt2015MedNEXT Journal of Medical and Health Sciences; Vol. 1 No. 1 (2020): MedNEXT; 24–28MedNEXT Journal of Medical and Health Sciences; v. 1 n. 1 (2020): MedNEXT; 24–282763-5678reponame:MedNEXT Journal of Medical and Health Sciencesinstname:Faculdade de Medicina em São José do Rio Preto (Faceres)instacron:FACERESenghttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/6/5Copyright (c) 2021 MedNEXT Journal of Medical and Health Scienceshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMcMurran, LouiseRasul, UsmanJeong, Seok JunVallamkondu, VamsidharShakeel, Muhammad2021-09-16T14:04:26Zoai:ojs2.mednext.zotarellifilhoscientificworks.com:article/6Revistahttps://mednext.zotarellifilhoscientificworks.com/index.php/mednextPUBhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/oaimednextjmhs@zotarellifilhoscientificworks.com2763-56782763-5678opendoar:2021-09-16T14:04:26MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres)false |
dc.title.none.fl_str_mv |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
title |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
spellingShingle |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge McMurran, Louise Ear Nose and Throat Thyroid cancer Squamous cell carcinoma Synchronous Head and neck cancer Oncology |
title_short |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
title_full |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
title_fullStr |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
title_full_unstemmed |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
title_sort |
Synchronous carcinoma of the thyroid and hypopharynx; a diagnostic and management challenge |
author |
McMurran, Louise |
author_facet |
McMurran, Louise Rasul, Usman Jeong, Seok Jun Vallamkondu, Vamsidhar Shakeel, Muhammad |
author_role |
author |
author2 |
Rasul, Usman Jeong, Seok Jun Vallamkondu, Vamsidhar Shakeel, Muhammad |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
McMurran, Louise Rasul, Usman Jeong, Seok Jun Vallamkondu, Vamsidhar Shakeel, Muhammad |
dc.subject.por.fl_str_mv |
Ear Nose and Throat Thyroid cancer Squamous cell carcinoma Synchronous Head and neck cancer Oncology |
topic |
Ear Nose and Throat Thyroid cancer Squamous cell carcinoma Synchronous Head and neck cancer Oncology |
description |
A 73-year-old Chinese origin woman presented with a right neck swelling associated with recent swallowing issues and hoarseness. She had an apparent goitre and a right posterior neck swelling. An ultrasound guided fine needle aspiration demonstrated papillary thyroid carcinoma in both thyroid lobes and right neck lymphadenopathy. While awaiting total thyroidectomy and neck dissection she presented with haemoptysis. She was found to have an exophytic mass in right pyriform fossa. The CT scan confirmed an intralaryngeal extension of the thyroid mass via thyroid cartilage and metastatic disease in the lung. Unexpectedly histology showed that the tissue from the right pyriform fossa was squamous cell carcinoma and papillary carcinoma in the thyroid was confirmed. She had synchronous cancers in the thyroid and hypopharynx. Synchronous tumours are a big challenge to diagnose and to treat. In her case the CT scan was misleading. We discuss this unusual presentation of synchronous head and neck cancers and difficulty in managing them. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-11-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Case Study |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/6 10.34256/mdnt2015 |
url |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/6 |
identifier_str_mv |
10.34256/mdnt2015 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/6/5 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 MedNEXT Journal of Medical and Health Sciences https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 MedNEXT Journal of Medical and Health Sciences https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faceres |
publisher.none.fl_str_mv |
Faceres |
dc.source.none.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences; Vol. 1 No. 1 (2020): MedNEXT; 24–28 MedNEXT Journal of Medical and Health Sciences; v. 1 n. 1 (2020): MedNEXT; 24–28 2763-5678 reponame:MedNEXT Journal of Medical and Health Sciences instname:Faculdade de Medicina em São José do Rio Preto (Faceres) instacron:FACERES |
instname_str |
Faculdade de Medicina em São José do Rio Preto (Faceres) |
instacron_str |
FACERES |
institution |
FACERES |
reponame_str |
MedNEXT Journal of Medical and Health Sciences |
collection |
MedNEXT Journal of Medical and Health Sciences |
repository.name.fl_str_mv |
MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres) |
repository.mail.fl_str_mv |
mednextjmhs@zotarellifilhoscientificworks.com |
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