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Multinodular goitre arising in the tracheal lumen: implantation or ectopic?

  • R L Love (a1), F Ahsan (a1), R Allison (a1), A Keast (a1) and N Lambie (a2)...

Abstract

Objectives:

We report a case of multinodular goitre arising in thyroid tissue within the trachea. This tissue appears to have been implanted at the time of an earlier subtotal thyroidectomy.

Case report:

A 79-year-old woman presented with a 12-month history of dyspnoea. Forty years earlier, she had been treated for a follicular adenoma with subtotal thyroidectomy. Investigation revealed tumour in the region of the right lobe of the thyroid, extending into and narrowing the trachea. A biopsy was performed, and the patient underwent excision of the right thyroid lobe tumour and cricotracheal resection with anastomosis. Histopathological findings were consistent with a multinodular goitre arising in thyroid tissue within the tracheal lumen.

Conclusion:

Intra-operative thyroid tissue implantation in the trachea and subsequent goitre development has not previously been described. This case illustrates the need for careful resection of the thyroid in order to maintain the integrity of normal anatomical structures.

Copyright

Corresponding author

Address for correspondence: Dr Rachelle L Love, Department of Otorhinolaryngology, Christchurch Public Hospital, Christchurch, New Zealand Fax: +64 3 364 0273 E-mail: rsalter@clear.net.nz

References

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1McCarty, T, Kuhn, J, Williams, W, Ellenhorn, J, O'Brien, J, Preskitt, J et al. Surgical management of thyroid cancer invading the airway. Ann Surg Oncol 1997;4:403–8
2Harach, H, Cabrera, J, Williams, E. Thyroid implants after surgery and blunt trauma. Ann Diagn Pathol 2004;8:61–8
3Ito, Y, Tomoda, C, Uruno, T, Takamura, Y, Kobayashi, K, Matsuzuka, F et al. Needle tract implantation of papillary thyroid carcinoma after fine-needle aspiration biopsy. World J Surg 2005;29:1544–9
4Tamiolakis, D, Antoniou, C, Venizelos, J, Lambropoulou, M, Alexiadis, G, Ekonomou, C et al. Papillary thyroid carcinoma metastasis most probably due to fine needle aspiration biopsy: a case report. Acta Derm 2006;15:169–72
5Lee, Y, Yun, J, Jeong, J, Nam, K, Chung, W, Park, C. Soft tissue implantation of thyroid adenomatous hyperplasia after endoscopic thyroid surgery. Thyroid 2008;18:483–4
6De Felice, M, Di Lauro, R. Thyroid development and its disorders: genetics and molecular mechanisms. Endocr Rev 2004;25:722–46
7Donegan, J, Wood, M. Intratracheal thyroid – familial occurrence. Laryngoscope 1985;95:68
8Beck, J. Ectopic thyroid tissue in the mucosa of the trachea. J Laryngol Otol 1960;74:420–2
9Byrd, M, Thompson, L, Wieneke, J. Intratracheal ectopic thyroid tissue: a case report and literature review. Ear Nose Throat J 2003;82:514–18
10Brandwein, M, Som, P, Urken, M. Benign intratracheal thyroid: a possible cause for preoperative overstaging. Arch Otolaryngol Head Neck Surg 1998;124:1266–9
11Dowling, EA, Johnson, IM, Collier, FC, Dillarg, RA. Intratracheal goitre: a clinicopathologic review. Ann Surg 1962;156:257–67
12Hari, C, Brown, M, Thompson, I. Tall cell variant of papillary carcinoma arising from ectopic thyroid tissue in the trachea. J Laryngol Otol 1999;113:183–5
13Osammor, JY, Bulman, CH, Blewitt, RW. Intralaryngotracheal thyroid. J Laryngol Otol 1990;104:733–6
14Karakullukcu, B, Guvenc, M, Cansiz, H, Oktem, F, Oz, B. Intratracheal ectopic thyroid: case report and review. Ear Nose Throat J 2007;86:406–8, 416
15Abboud, B, Tabchy, B, Atallah, C, Aouad, R, Matar, N, Ghorra, C. Image in endocrinology: intratracheal ectopic thyroid mass. J Clin Endocrinol Metab 2007;92:26–7
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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