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Updated: Jun 22, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
Published on: September 15, 2023
Brachial plexus neuropathy resulting from a massively enlarged papillary thyroid carcinoma
Jonathan D Lipana1, Marita S Teng
1Department of Otolaryngology, Mount Sinai School of Medicine, New York, New York 10029, USA. jonathan.lipana@mssm.edu
Abstract:
Well-known complications of thyroid enlargement and papillary carcinoma include compression or invasion of the trachea, esophagus, and/or vascular structures. Recurrent laryngeal nerve invasion by thyroid carcinoma is not uncommon, and phrenic nerve invasion has also been described. Preoperative dysfunction of a vocal cord, which often implies invasive carcinoma, may necessitate recurrent laryngeal nerve sacrifice and is therefore rreversible. We present an unusual case of reversible brachial plexus compression in a patient with massive thyroid enlargement and papillary carcinoma.
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