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Intralaryngotracheal thyroid – ectopic thyroid or invasive carcinoma?

Published online by Cambridge University Press:  29 June 2007

Andrew C. H. See
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, London, UK.
Snehal G. Patel*
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, London, UK.
Paul Q. Montgomery
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, London, UK.
Peter H. Rhys Evans*
Affiliation:
Head and Neck Unit, Royal Marsden Hospital, London, UK.
Cyril Fisher
Affiliation:
Department of Histopathology, Royal Marsden Hospital, London, UK.
*
Address for correspondence: Mr S. Patel, and for reprints: Mr P. H. Rhys Evans, Consultant Head & Neck/ENT Surgeon, Head and Neck Unit, Royal Marsden Hospital, Fulham Road, London SW3 6JJ. Fax: 0171-351 5934
Address for correspondence: Mr S. Patel, and for reprints: Mr P. H. Rhys Evans, Consultant Head & Neck/ENT Surgeon, Head and Neck Unit, Royal Marsden Hospital, Fulham Road, London SW3 6JJ. Fax: 0171-351 5934

Abstract

Intralaryngotracheal thyroid is a rare clinical condition with only about 125 cases described so far in the literature. We present an unusual case of intralaryngotracheal thyroid which had many clinical features of malignancy and yet appeared benign on histology. As in this case, well-differentiated thyroid cancer can present with locally aggressive clinical features and can pose a dilemma in management if treatment decisions are guided solely by histological features.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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References

Al-Hajjaj, M. S. (1991) Ectopic intratracheal thyroid presenting as bronchial asthma. Respiration 58: 329331.Google Scholar
Baughmann, R. A. (1972) Lingual thyroid and thyroglossal tract remnants. A clinical and histopathological study with a review of the literature. Oral Surgery 34: 781799.Google Scholar
Bone, C. R., Biller, H. F., Irwin, T. M. (1972) Intralaryngotracheal thyroid. Annals of Otology, Rhinology and Laryngology 81: 424428.CrossRefGoogle ScholarPubMed
Bruns, P. (1878) Uber kropfgeschwulste im innern des kehlkopfs und der luftrohre und ihre entfernung. Klinisches Chirurgie 14: 1.Google Scholar
Chanin, L. R., Greenberg, L. M. (1988) Paediatric upper airway obstruction due to ectopic thyroid: classification and case reports. Laryngoscope 98: 422427.CrossRefGoogle ScholarPubMed
Djalilian, M., Beahrs, O. H., Devine, K. D., Weiland, L. H., DeSanto, L. W. (1974) Intraluminal involvement of the larynx and trachea by thyroid cancer. American Journal of Surgery 128: 500504.Google Scholar
Donegan, J. O., Wood, M. D. (1985) Intratracheal thyroid – familial occurrence. Laryngoscope 5: 68.Google Scholar
Falk, P. (1936) Ueber orstfremde gutartige gewebsbildungen. Thymus and thyroiden gewebe. Archiv für Ohren Nasenund Kehlopfheilkunde 141: 118121.CrossRefGoogle Scholar
Ferlito, A., Giarelli, L., Silvestri, F. (1988) Intratracheal thyroid. Journal of Laryngology and Otology 102: 9596.Google Scholar
King, W. L. M., Pemberton, J. J. (1942) So-called lateral aberrant thyroid tumours. Surgery Gynaecology and Obstetrics 74: 9911001.Google Scholar
Kozol, R. A., Geelhoed, G. W., Flynn, S. D., Kinder, B. (1993) Management of ectopic thyroid nodules. Surgery 114: 11031107.Google Scholar
Lawson, W., Som, M. L., Biller, H. F. (1977) Papillary adenocarcinoma of the thyroid invading the upper air passages. Annals of Otology, Rhinology and Laryngology 86: 751755.Google Scholar
Moore, K. L., Persaud, T. V. N. (1993) In The Developing Human – Clinically Orientated Embryology. 5th Edition. W. B. Saunders, Philadelphia, pp 200203.Google Scholar
Myers, E. N., Patangco, I. P. (1975) Intratracheal thyroid. Laryngoscope 85: 18331839.Google Scholar
Myers, J. S., Steinberg, C. S. (1969) Microscopically benign thyroid follicles in cervical lymph nodes. Cancer 24: 302311.Google Scholar
Ogden, C. W., Goldstraw, P. (1991) Intratracheal thyroid tissue presenting with stridor. European Journal of Cardiothoracic Surgery 5: 108109.CrossRefGoogle ScholarPubMed
Osammor, J. Y., Bulman, C. H., Blewitt, R. W. (1990) Intralaryngotracheal thyroid. Journal of Laryngology and Otology 104: 733736.CrossRefGoogle ScholarPubMed
Paltauf, R. (1892) Zur kenntniss der schilddrusen – tumoren im innern des kehlkopfs und der luftrohre. Beitrag Pathologie Anatomie 11: 7189.Google Scholar
Rotenberg, D., Lawson, V. G., Van Nostrad, A. W. P. (1979) Thyroid carcinoma presenting as a tracheal tumour. Journal of Otolaryngology 8: 401410.Google Scholar
Schrager, V. L. (1906) Lateral aberrant thyroids. Surgery Gynecology and Obstetrics 3: 456475.Google Scholar
Seidlin, S. M., Marinelli, L. D., Oshry, E. (1990) Radioactive iodine therapy: effect on functioning metastases of adenocarcinoma of the thyroid. Cancer Journal Clinics 40: 299317.CrossRefGoogle ScholarPubMed
Soylu, L., Kiroglu, F., Ersoz, C., Ozcan, C., Aydogan, B. (1993) Intralaryngotracheal thyroid. American Journal of Otolaryngology 14: 145147.Google Scholar
Staunton, M. D. (1976) Malignant adenoma of the thyroid: hail or farewell? Clinical Oncology 2: 157161.Google ScholarPubMed
Thoren, L. (1947) Intratracheal goitre. Acta Chirurgica Scandinavica 95: 455512.Google Scholar
Waggoner, L. (1958) Intralaryngeal intratracheal thyroid. Annals of Otology, Rhinology and Laryngology 67: 6171.Google Scholar
Wegelin, A. (1939) Zur entstehung des intra laryngotrachealen kropfes. Schweizerische Medizinische Wochenschrift 68: 592593.Google Scholar