Tracheal stenosis and recurrent nerve paralysis due to thyroid malignant lymphoma with huge chronic thyroiditis

  • Takeshi Kusunoki | ttkusunoki001@aol.com Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Hirotomo Homma Department of Pathology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Yoshinobu Kidokoro Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Akihisa Yoshikawa Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Kumiko Tanaka Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Satoko Kubo Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Ryo Wada Department of Pathology, Juntendo University of Medicine, Shizuoka Hospital, Japan.
  • Katsuhisa Ikeda Department of Otorhinolaryngology, Juntendo University of Medicine, Faculty of Medicine, Shizuoka, Japan.

Abstract

We experienced a case of huge chronic thyroiditis with malignant lymphoma that caused dyspnea with tracheal stenosis, dysphagia with esophagus stenosis and recurrent nerve paralysis. In this case, thyroidectomy was performed and, after the surgery, there was no sign of breathing or swallowing difficulties, and it was confirmed by the postoperative computed tomography that the tracheal stenosis had improved. We considered two possible explanations for the preoperative right recurrent nerve paralysis. In the first, the right recurrent nerve could have suffered from mechanical stimulation such as compression and traction to the recurrent nerve due to enlargement of the malignant lymphoma together with chronic thyroiditis. The second possible explanation was that malignant cells had invaded neurons. We could not distinguish between the two possibilities, since this right recurrent nerve was spared and could not be examined histopathologically.

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Published
2020-10-16
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Section
Case Reports
Keywords:
Tracheal stenosis, recurrent nerve paralysis, huge chronic thyroiditis, Hashimoto thyroiditis, dyspnea, dysphagia, thyroid lymphoma.
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How to Cite
Kusunoki, T., Homma, H., Kidokoro, Y., Yoshikawa, A., Tanaka, K., Kubo, S., Wada, R., & Ikeda, K. (2020). Tracheal stenosis and recurrent nerve paralysis due to thyroid malignant lymphoma with huge chronic thyroiditis. Clinics and Practice, 10(4). https://doi.org/10.4081/cp.2020.1276

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