EMERGENCY THYROIDECTOMY FOR ACUTE RESPIRATORY DISTRESS IN A PATIENT WITH ANAPLASTIC THYROID CARCINOMA: A CASE REPORT AND REVIEW OF THE LITERATURE

International Journal of Innovative Medicine and Health Science, Vol. 5, 2015, 18-21

Shariful Islam, Devin Hosein, Vinoo Bheem, Patrick Harnarayan, Vijay Naraynsingh

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ABSTRACT

 Anaplastic thyroid carcinoma (ATC) is the most aggressive form of thyroid cancer. It is characterized by rapid growth, extensive loco-regional spread and early distant metastasis resulting in a poor prognosis. The presentation can be varied, but most patients present with a rapidly enlarging neck mass with associated symptoms of compression such as dysphagia or stridor. ATC can arise denovo, however, many arise from pre-existing thyroid cancers. There are cases where ATC arose from multinodular goitres. We report a case of a 54 year old female with a long standing MNG who presents with a rapidly enlarging neck mass and acute respiratory failure who underwent an emergency thyroidectomy.

Keywords: emergency thyroidectomy, thyroid related respiratory failure, anaplastic thyroid carcinoma, multinodular goitre