Open AccessExtensive laryngeal infiltration from a neglected papillary thyroid carcinoma: A case report
Author(s) -
Fanourios Georgiades,
George Vasiliou,
Efthymios Kyrodimos,
Giannis Thrasyvoulou
Publication year - 2016
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v4.i7.187
Subject(s) - medicine , laryngectomy , infiltration (hvac) , papillary carcinoma , thyroid carcinoma , thyroid cancer , thyroid , carcinoma , papillary thyroid cancer , cricoid cartilage , radioactive iodine , thyroidectomy , general surgery , radiology , larynx , pathology , surgery , physics , thermodynamics
Papillary carcinoma of the thyroid is the commonest type of thyroid cancer. Laryngeal infiltration from papillary thyroid carcinoma is extremely rare, with only a few cases of partial invasion described in the literature. We present a very unusual case of complete infiltration of both thyroid and cricoid cartilages from a neglected papillary thyroid carcinoma in a 59-year-old male. This sequel resulted from refusal of the patient to undergo treatment when initially diagnosed. An invasion to such an extent has not been described in the literature before, and in this case warranted a total laryngectomy followed by radioactive iodine. Prompt management of papillary carcinomas is crucial for avoiding such complications. Future guidelines should include management options for the patients who deny treatment initially.