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Clinics and Practice
Volume 10
Issue 4
10.4081/cp.2020.1276
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Tracheal Stenosis and Recurrent Nerve Paralysis Due to Thyroid Malignant Lymphoma with Huge Chronic Thyroiditis

by
Takeshi Kusunoki
1,*,
Hirotomo Homma
2,
Yoshinobu Kidokoro
1,
Akihisa Yoshikawa
1,
Kumiko Tanaka
1,
Satoko Kubo
1,
Ryo Wada
2 and
Katsuhisa Ikeda
3
1
Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
2
Department of Pathology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
3
Department of Otorhinolaryngology, Juntendo University of Medicine, Faculty of Medicine, Tokyo, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2020, 10(4), 1276; https://doi.org/10.4081/cp.2020.1276
Submission received: 27 June 2020 / Revised: 18 September 2020 / Accepted: 6 October 2020 / Published: 16 October 2020

Abstract

We experienced a case of huge chronic thyroiditis with malignant lymphoma that caused dyspnea with tracheal stenosis, dysphagia with esophagus stenosis and recurrent nerve paralysis. In this case, thyroidectomy was performed and, after the surgery, there was no sign of breathing or swallowing difficulties, and it was confirmed by the postoperative computed tomography that the tracheal stenosis had improved. We considered two possible explanations for the preoperative right recurrent nerve paralysis. In the first, the right recurrent nerve could have suffered from mechanical stimulation such as compression and traction to the recurrent nerve due to enlargement of the malignant lymphoma together with chronic thyroiditis. The second possible explanation was that malignant cells had invaded neurons. We could not distinguish between the two possibilities, since this right recurrent nerve was spared and could not be examined histopathologically.
Keywords: tracheal stenosis; recurrent nerve paralysis; huge chronic thyroiditis; Hashimoto thyroiditis; dyspnea; dysphagia; thyroid lymphoma tracheal stenosis; recurrent nerve paralysis; huge chronic thyroiditis; Hashimoto thyroiditis; dyspnea; dysphagia; thyroid lymphoma

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MDPI and ACS Style

Kusunoki, T.; Homma, H.; Kidokoro, Y.; Yoshikawa, A.; Tanaka, K.; Kubo, S.; Wada, R.; Ikeda, K. Tracheal Stenosis and Recurrent Nerve Paralysis Due to Thyroid Malignant Lymphoma with Huge Chronic Thyroiditis. Clin. Pract. 2020, 10, 1276. https://doi.org/10.4081/cp.2020.1276

AMA Style

Kusunoki T, Homma H, Kidokoro Y, Yoshikawa A, Tanaka K, Kubo S, Wada R, Ikeda K. Tracheal Stenosis and Recurrent Nerve Paralysis Due to Thyroid Malignant Lymphoma with Huge Chronic Thyroiditis. Clinics and Practice. 2020; 10(4):1276. https://doi.org/10.4081/cp.2020.1276

Chicago/Turabian Style

Kusunoki, Takeshi, Hirotomo Homma, Yoshinobu Kidokoro, Akihisa Yoshikawa, Kumiko Tanaka, Satoko Kubo, Ryo Wada, and Katsuhisa Ikeda. 2020. "Tracheal Stenosis and Recurrent Nerve Paralysis Due to Thyroid Malignant Lymphoma with Huge Chronic Thyroiditis" Clinics and Practice 10, no. 4: 1276. https://doi.org/10.4081/cp.2020.1276

APA Style

Kusunoki, T., Homma, H., Kidokoro, Y., Yoshikawa, A., Tanaka, K., Kubo, S., Wada, R., & Ikeda, K. (2020). Tracheal Stenosis and Recurrent Nerve Paralysis Due to Thyroid Malignant Lymphoma with Huge Chronic Thyroiditis. Clinics and Practice, 10(4), 1276. https://doi.org/10.4081/cp.2020.1276

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