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Published in: World Journal of Surgical Oncology 1/2008

Open Access 01-12-2008 | Case report

Acute airway failure secondary to thyroid metastasis from renal carcinoma

Authors: Mario Testini, Germana Lissidini, Angela Gurrado, Gaetano Lastilla, Amato Stabile Ianora, Raffaele Fiorella

Published in: World Journal of Surgical Oncology | Issue 1/2008

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Abstract

Background

Secondary involvement of the thyroid gland by malignant metastases is uncommon. Acute respiratory crisis due to infiltration of the upper airways is a recognised complication of anaplastic thyroid carcinoma or thyroid lymphoma. Renal cell carcinoma is a tumour that metastasizes diffusely and in an unpredictable manner.

Case presentation

We report a case of a 73-year-old man with a painful neck mass, dyspnoea, stridor and dysphonia that was evaluated in emergency. A right radical nephrectomy for renal cell carcinoma was performed 8 years previously. An emergency endotracheal intubation was followed by total thyroidectomy. Histological examination confirmed the diagnosis of thyroid metastasis from renal cell carcinoma.

Conclusion

A literature review regarding emergency treatment for acute respiratory compromise resulting from secondary thyroid tumours was undertaken. Only two cases of metastatic colon cancer and one case of metastatic meningioma requiring emergency thyroidectomy for acute respiratory failure are reported in the literature. This appears to be the first case of emergency surgery performed for acute respiratory compromise due to thyroid metastasis from renal cell carcinoma.
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Metadata
Title
Acute airway failure secondary to thyroid metastasis from renal carcinoma
Authors
Mario Testini
Germana Lissidini
Angela Gurrado
Gaetano Lastilla
Amato Stabile Ianora
Raffaele Fiorella
Publication date
01-12-2008
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2008
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-6-14

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