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Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters
Abnormal enlargement of the thyroid gland is called goiter. Structurally, it can be nodular or diffuse. Usually, it presents as an anterior cervical mass; however, less commonly, it presents as a retrosternal mass causing symptoms of compression on the surrounding structures. Most patients with goit...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10078851/ https://www.ncbi.nlm.nih.gov/pubmed/37033511 http://dx.doi.org/10.7759/cureus.35861 |
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author | Asif, Muhammad Khan, Wahab J Aslam, Sadia Nadeem, Ifrah Hericks, Anthony |
author_facet | Asif, Muhammad Khan, Wahab J Aslam, Sadia Nadeem, Ifrah Hericks, Anthony |
author_sort | Asif, Muhammad |
collection | PubMed |
description | Abnormal enlargement of the thyroid gland is called goiter. Structurally, it can be nodular or diffuse. Usually, it presents as an anterior cervical mass; however, less commonly, it presents as a retrosternal mass causing symptoms of compression on the surrounding structures. Most patients with goiter are asymptomatic due to the euthyroid nature of the disease. However, sometimes they can be hypo or hyperthyroid depending on the etiology of the goiter. Here, we present the case of a patient without any previously known goiter who presented to the hospital with shortness of breath and was found to have hypoxic respiratory failure as his first noticed sign of thyroid disease. Diagnostic workup revealed retrosternal goiter causing compression effect on the esophagus and trachea resulting in dysphagia and aspiration. The patient was treated with feeding tube placement, followed by surgical resection of the mediastinal mass. |
format | Online Article Text |
id | pubmed-10078851 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-100788512023-04-07 Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters Asif, Muhammad Khan, Wahab J Aslam, Sadia Nadeem, Ifrah Hericks, Anthony Cureus Cardiac/Thoracic/Vascular Surgery Abnormal enlargement of the thyroid gland is called goiter. Structurally, it can be nodular or diffuse. Usually, it presents as an anterior cervical mass; however, less commonly, it presents as a retrosternal mass causing symptoms of compression on the surrounding structures. Most patients with goiter are asymptomatic due to the euthyroid nature of the disease. However, sometimes they can be hypo or hyperthyroid depending on the etiology of the goiter. Here, we present the case of a patient without any previously known goiter who presented to the hospital with shortness of breath and was found to have hypoxic respiratory failure as his first noticed sign of thyroid disease. Diagnostic workup revealed retrosternal goiter causing compression effect on the esophagus and trachea resulting in dysphagia and aspiration. The patient was treated with feeding tube placement, followed by surgical resection of the mediastinal mass. Cureus 2023-03-07 /pmc/articles/PMC10078851/ /pubmed/37033511 http://dx.doi.org/10.7759/cureus.35861 Text en Copyright © 2023, Asif et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Asif, Muhammad Khan, Wahab J Aslam, Sadia Nadeem, Ifrah Hericks, Anthony Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters |
title | Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters |
title_full | Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters |
title_fullStr | Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters |
title_full_unstemmed | Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters |
title_short | Thyroid Cancer Presenting as Aspiration Pneumonia: A Tale of Retrosternal Goiters |
title_sort | thyroid cancer presenting as aspiration pneumonia: a tale of retrosternal goiters |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10078851/ https://www.ncbi.nlm.nih.gov/pubmed/37033511 http://dx.doi.org/10.7759/cureus.35861 |
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