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Updated: Apr 19, 2026

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
Airway emergency from spontaneous haemorrhagic thyroid cancer
A Vijendren1, N Ladha2, A W Hilger2
1Ipswich Hospital Trust, Heath Road, Ipswich, Suffolk IP4 5PD, United Kingdom. shivan5@yahoo.com.
Abstract:
Spontaneous thyroid haemorrhages are rare. There are reported cases occurring in thyroid nodules and cysts but none in thyroid malignancies. We describe a 48 year old who presented to the on-call ENT team with a rapidly progressing neck swelling that was interfering with his airway. After resuscitation, the patient underwent a right lobectomy to stop the bleeding. Histology showed a thyroid follicular carcinoma. As per the regional multidisciplinary team discussion, he underwent a completion thyroidectomy followed by radioactive iodine treatment. We conclude that spontaneous haemorrhages of the thyroid gland can occur in malignancies and stress the importance of early histological diagnosis.
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