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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
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Unexpected esophageal diseases appeared in thyroid resections.
Liu Ye-huan1, Lyu Shi-xu2, Zhou Yi-li3
1Department of Oncology, The First Affiliated Hospital of Wenzhou Medical University, South of Bai-xiang Street, Ou-hai District, 325000, Wenzhou, Zhejiang, People's Republic of China. 1259932365@qq.com.
World Journal of Surgical Oncology
|April 19, 2015
Summary
Cervical esophageal cancer and Zenker's diverticulum can be misdiagnosed as thyroid disease. Comprehensive diagnostic methods are crucial to prevent misdiagnosis and ensure appropriate patient care.
Area of Science:
- Gastroenterology
- Endocrinology
- Oncology
Background:
- Thyroid diseases are common, but misdiagnosis can occur.
- Cervical esophageal cancer and Zenker's diverticulum can present with symptoms mimicking thyroid conditions.
Observation:
- Seven retrospective cases revealed misdiagnosis of esophageal diseases as thyroid conditions.
- Two cases of cervical esophageal cancer metastasized to the thyroid, initially diagnosed as thyroid cancer.
- Five cases of Zenker's diverticulum were misdiagnosed as nodular goiter, with two showing calcification.
Findings:
- Cervical esophageal cancer with thyroid metastasis had a poor prognosis despite treatment.
- Zenker's diverticulum cases were successfully treated with excision and repair, showing no recurrence.
Implications:
- Accurate diagnosis of cervical esophageal cancer and Zenker's diverticulum is vital to avoid thyroid disease misdiagnosis.
- Advanced imaging and clinical evaluation are necessary for differentiating these conditions.
- Early and correct diagnosis can lead to better patient outcomes.
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