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Thyroid

Severe symptomatic hypocalcemia following total thyroidectomy in a patient with a history of Roux-en-Y gastric bypass surgery

January 21, 2014  |  Justin A. Gross, MD; Steven M. Olsen, MD; Cody A. Koch, MD, PhD; Eric J. Moore, MD

Abstract

Patients who undergo a Roux-en-Y gastric bypass (RYGB) procedure are at moderate risk for calcium and vitamin D deficiency. Those who subsequently undergo thyroid or parathyroid surgery are at high risk for developing severe symptomatic hypocalcemia if they are not monitored...

Primary Burkitt lymphoma of the thyroid

December 20, 2013  |  Samuel Albert, MD

Abstract

Primary Burkitt lymphoma of the thyroid is extremely rare. The author describes a new case in a 15-year-old boy who presented with a rapidly enlarging thyroid mass and dyspnea.

Undifferentiated thyroid carcinoma

October 24, 2013  |  Lester D.R. Thompson, MD

Histologically, undifferentiated thyroid carcinomas show a variety of patterns, from sheet-like, storiform, fascicular, angiomatoid, and meningothelial to solid, exhibiting extensive lymph-vascular invasion.

Thyroglossal duct cyst carcinoma: Case report and review of the literature

September 19, 2013  |  David W. Jang, MD; Andrew G. Sikora, MD, PhD; Anatoly Leytin, MD

Abstract

Well-differentiated thyroid carcinoma of a thyroglossal duct cyst (TGDC) is a rare entity, found in about 1% of all TGDCs. Diagnosis is usually made incidentally after a Sistrunk procedure. Options for further therapy include total thyroidectomy, T4 suppression therapy, and...

Post-thyroidectomy early serum ionic calcium level: Predictor of prolonged hypocalcemia

August 22, 2013  |  Sanjana V. Nemade, MS, FCPS(ENT) and Atul P. Chirmade, MS

Abstract

One of the more common complications of thyroid surgery is postoperative hypocalcemia, which is potentially serious. Its clinical manifestations range from minimal twitching to life-threatening tetany. Affected patients might require a prolonged hospital stay and...

Wrong egg in the usual nest: Thyroid papillary carcinoma within a branchial cleft cyst

July 22, 2013  |  Mustafa Sagit, MD; Ayhan Gokler, MD; Istemihan Akin, MD; Unsal Han, MD

Abstract

Branchial cleft cysts are the most common lesions to arise laterally in the neck. Ectopic thyroid tissue within a branchial cleft cyst is rare, and a papillary carcinoma arising from this tissue is extremely rare. We present a case of a lateral neck cyst representing a primary...

Giant cell tumor of the larynx: A case of malignant sarcomatous transformation

June 12, 2013  |  Richard J. Vivero, MD; Sandeep P. Dave, MD; Carmen R. Gomez, MD; and Donald T. Weed, MD

Abstract

We report what is to the best of our knowledge the first case of malignant transformation of a giant cell tumor of the larynx. The patient, a 34-year-old man, presented to our tertiary care university teaching hospital where he underwent hemilaryngopharyngectomy with radial...

Extraosseous Ewing sarcoma and peripheral primitive neuroectodermal tumor of the thyroid gland: Case report and review

April 18, 2013  |  Magdalena Chirila, MD, PhD; Mihaela Muresan, MD; Elisabeta Ciuleanu, MD, PhD; and Marcel Cosgarea, MD, PhD

Abstract

The Ewing family of tumors and peripheral primitive neuroectodermal tumor (pPNET) represent different manifestations of the same entity. Immunohistochemical and cytogenetic studies suggest that these tumors have a common origin. Ewing sarcoma is more common in bone, while pPNET...

Malignant paraganglioma of the thyroid gland with synchronous bilateral carotid body tumors

February 25, 2013  |  Nadia Mohyuddin, MD; Karen Ferrer, MD; Urjeet Patel, MD, FACS

Abstract

We describe a case of primary malignant paraganglioma of the thyroid gland that was found in a 55-year-old woman who had undergone surgery for bilateral carotid body tumors. The paraganglioma was treated with a total thyroidectomy followed by radiation therapy, and the patient...

Primary papillary carcinoma of the thyroid arising in a branchial cyst: Case report and review of the literature

February 25, 2013  |  Parvathidevi K. Gollahalli, SSAHE; Panduranga Chikkannaiah, MD, SSAHE; Vamseedhar Annam, MD, SSAHE

Abstract

We report a case of papillary carcinoma of the thyroid that arose in a branchial cyst. The patient, a 45-year-old woman, presented with a left lateral neck mass of 3 months' duration. The cyst was removed intact. Because we could not rule out the possibility that a small...

Nasopharyngeal metastasis of follicular carcinoma of the thyroid with extensive clear cell change: A case report

December 31, 2012  |  Trupti Shreyans Patel, MD; Swapan L. Desai, MD; Priti P. Trivedi, MD; Manoj J. Shah, MD

Abstract

Thyroid carcinoma metastatic to the maxillofacial area is extremely rare. Other carcinomas can metastasize to this area, but very few cases of follicular thyroid carcinoma metastasizing to the nasopharynx have been reported. Carcinoma from the kidney, liver, large bowel,...

Traumatic thyroid hematoma associated with thyroid carcinoma

September 7, 2012  |  Carlos M. Rivera-Serrano, MD; Brian J. Park, MD, MPH; Robert L. Ferris, MD

Abstract

Thyroid hematoma secondary to blunt trauma is uncommon, and no consensus exists for its management. We describe the case of a 46-year-old man who presented with neck swelling after he had sustained a blunt-trauma injury to his neck while playing soccer....

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