Cáncer tiroideo: una causa infrecuente de obstrucción de vía aérea superior en niños: Caso clínico
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Lisbeth Platzer M [1] ; Luis E Vega-Briceño [1] ; Hernán González D [1] ; Fernando Iñiguez O [1] ; Cyntia Escobar F [1] ; Francisco Prado A [1]
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[1] Pontificia Universidad Católica de Chile
Pontificia Universidad Católica de Chile
Santiago, Chile
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- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 134, Nº. 6, 2006, págs. 772-776
- Idioma: español
- Títulos paralelos:
- Thyroid carcinoma as a cause of upper airway obstruction in children: Case report
- Enlaces
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Resumen
Upper airway obstruction (UAO) can be a severe medical condition with a high mortality in children. We report a 10 year-old girl with UAO due to papillary thyroid carcinoma. The study confirmed a thyroid cancer. The patient was referred to our centre for the evaluation of dyspnea and hoarseness. She was admitted in severe respiratory distress. Her chest X-ray revealed a critical narrowing of the cervical trachea and extensive infiltration of the lung with a miliary pattern; CT scan revealed a thyroid mass with bilateral pulmonary dissemination. An early surgical approach with total thyroidectomy and tracheotomy was performed. The study revealed a thyroid carcinoma. The patient was then referred to a specialized centre to receive chemotherapy. Recognition of thyroid carcinoma in children requires a high suspicion index. An early CT scan and fiberoptic assessment could show UAO in many unsuspected lesions
