Weekly Chest CasesCases by Disease Category

Case No : 1300 Date 2022-09-19

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  • Courtesy of Cherry Kim, Sung-Joon Park /
  • Age/Sex 71 / M
  • Chief ComplaintBlood tinged sputum (O:3MA), Smoking history (+): 0.5 ppd x 50 yrs
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Tracheal Invasion of Thyroid Carcinoma
Radiologic Findings
FNA, Thyroid gland: Papillary carcinoma
Trachea, bronchoscopic biopsy; Papillary carcinoma, most probably direct invasion from thyroid gland
Brief Review
Major cause of death in patients with thyroid carcinoma
Incidence:
- Fewer than 5% of cases of well-differentiated carcinoma of the thyroid
- 26~53% of cases of anaplastic carcinoma of the thyroid.

Treatment of choice: Surgical removal of all gross tumor with preservation of healthy structures.
References
1. Diagnostic Imaging Chest, 2nd edition, Amirsys, 2013.
2. Kang H-C, Kim S-K, Kang S-H, Kim K-M, Hong S-I, Chung D-J et al. A case of tracheal adenoid cystic carcinoma presenting with diffuse goiter. Journal of Korean Society of Endocrinology 2005;20:273-277
3. Cody III HS, Shah JP. Locally invasive, well-differentiated thyroid cancer: 22 years' experience at memorial sloan-kettering cancer center. The American Journal of Surgery 1981;142:480-483
4. Wang J-c, Takashima S, Takayama F, Kawakami S, Saito A, Matsushita T et al. Tracheal invasion by thyroid carcinoma. American Journal of Roentgenology 2001;177:929-936
Keywords
Tracheal Invasion of Thyroid Carcinoma,

No. of Applicants : 79

▶ Correct Answer : 24/79,  30.4%
  • - Korea University Guro Hospital , Korea (South) SEOKYOUNG LEE
  • - Jichi Medical University Hospital , Japan JUN KANZAWA
  • - , Japan MASAKI UMEHANA
  • - , Italy PAOLO BALDASSARI
  • - Tiger Gate Hospital , Japan SHIN-ICHI CHO
  • - Other , Korea (South) SEONGSU KANG
  • - Scans world , India PHILSON JOSEPH MUKKADA
  • - , Korea (South) JIN YOUNG LEE
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - Osaka University , Japan AKINORI HATA
  • - Korea University Guro Hospital , Korea (South) HEEJUN PARK
  • - Shimada General Medical Center , Japan HAYATO NOZAWA
  • - , Korea (South) MINJI KIM
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Narayana Multispeciality Hospital Jaipur Rajasthan , India JAINENDRA JAIN
  • - Gifu University Hospital , Japan Yo Kaneko
  • - Korea University Guro Hospital , Korea (South) YOON CHUL LEE
  • - Other , Korea (South) SEONG WON JANG
  • - Kyoto University Hospital , Japan SATOSHI IKEDA
  • - Seoul National University Bundang Hospital , Korea (South) YOONAH DO
  • - Toranomon Hospital , Japan KAORU SUMIDA
  • - Nerimahikarigaoka hospital , Japan TAKANA HAYASHI
  • - , Japan YUMI MAEHARA
  • - , Japan YUKI HAYASHI
▶ Correct Answer as Differential Diagnosis : 26/79,  32.9%
  • - Wakayama Red Cross Hospital , Japan TOMOAKI OTANI
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - Kinki University Faculty of Medicine, , Japan MITSURU MATSUKI
  • - , Japan KYOKO NAGAI
  • - Shiga University of Medical Science , Japan AKITOSHI INOUE
  • - , United Kingdom SAMSON KADE
  • - McGill University Health Center , Canada ALEXANDRE SEMIONOV
  • - Kyoto University Hospital , Japan YUSUKE UTSUNOMIYA
  • - NIMS, HYDERABAD , India BHASKAR K
  • - IRSA LA ROCHELLE , France JEAN LUC BIGOT
  • - National Center of Neurology and Psychiatry , Japan MOTO NAKAYA
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - , Korea (South) YOUNGJAE CHOI
  • - Chonbuk National University Hospital , Korea (South) JUNGHWAN KIM
  • - , Japan YUKIKO USUI
  • - Inje University Pusan Paik Hospital , Korea (South) JIYEON HAN
  • - Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
  • - Chungbuk National University Hospital , Korea (South) MIHYEON PARK
  • - , Qatar NABIL SHERIF MAHMOOD
  • - Chonnam National University Hwasun Hospital , Korea (South) JEONG YEOP LEE
  • - Others , India PURUSHOTHAMA RAO TUMMALA
  • - Other , Korea (South) KYU-CHONG LEE
  • - Paras hospital, Panchkula , India SHALEEN RANA
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
  • - Ichinomiya Nishi Hospital , Japan Takao Kiguchi
  • - Hanyang University Hospital , Korea (South) SEUNG JIN YOO
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