Emergency thyroidectomy for primitive lymphoma of thyroid. Case report and diagnostic and therapeutic guidelines

Università di Palermo, Azienda Ospedaliera Policlinico "P. Giaccone" Dipartimento di Chirurgia Generale d'Urgenza e dei Trapianti d'Organo, Sezione di Chirurgia Generale ad Indirizzo Toracico.
Annali italiani di chirurgia (Impact Factor: 0.6). 09/2006; 77(5):429-32.
Source: PubMed


A case of acute wheezing causing primitive thyroid lymphoma observed ay the Operative Unit of General and Thoracic Surgery of the University "P Giaccone" of Palermo, Italy, is reported.
Diagnostic, clinical and prognostic indication, evaluation of effectveness of radical surgical treatment and follow-up.
Emergency radical surgical treatment (debulking) and surgical tracheostomy (tracheal infiltration).
Complete recovery with "restitutio ad integrum". No relapse were recorded ad short follow-up.
Total thyroidectomy in front of uncertain cytology with the suspect of Hashimoto' s treatment or acute wheezing or localized neoplasm (IE or IIE) is feasible and rationale. If possible, this treatment of choice must observe standard technique, with visualization and respect of four parathyroid glands and recurrent laryngeal nerves. This intervention has good prognosis and low morbidity and mortality in well experiences surgical teams of thyroid surgery.

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    ABSTRACT: BACKGROUND: Thyroid cancer has the highest prevalence of all endocrine malignancies. Malignancy can be of thyroid or non-thyroid origin. Sarcomas and primary thyroid lymphomas (PTL) are rare and surgery is treatment of choice in the former but not in latter. OBJECTIVE: To describe thyroid lymphomas histological types of thyroid cancer found in a reference center. METHODS: Medical chart review from admitted patients diagnosed with thyroid cancer in the period from january 2007 to june 2012. Demographic, diagnostic, therapeutic and histopathological information were collected. RESULTS: 1604 records of patients admitted with thyroid disease were reviewed. Among 307 thyroid cancer, the cases diagnosed with rare tumors were: 10 cases of anaplastic carcinoma (3.5%), followed by 4 cases of medullary carcinoma (1.3%), 1 cases of teratoma (0.03%), 2 cases of lymphoma (0.06%). The most frequent clinical presentation was a palpable thyroid nodule. All patients with lymphoma died. CONCLUSION: Thyroid lymphomas are uncommon and tend to worse outcomes. KEY WORDS: FNC, Surgery, Thyroid lymphoma.
    Annali italiani di chirurgia 10/2012; 84(5). · 0.60 Impact Factor

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