A Case of Cricotracheostomy for a Patient with a Primary Thyroid Lymphoma

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  • 甲状腺悪性リンパ腫に対して輪状軟骨開窓術を施行した1例
  • コウジョウセン アクセイ リンパシュ ニ タイシテ リンジョウ ナンコツ カイソウジュツ オ シコウ シタ 1レイ

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Abstract

<p>The most common clinical feature of a primary thyroid lymphoma is a rapidly growing thyroid mass, mimicking anaplastic carcinoma, often with dyspnea.</p><p>A 77-year-old man presented with a rapidly growing neck mass and dyspnea. Computed tomography (CT) showed diffuse enlargement of the thyroid, with compression of the trachea.</p><p>As the patient showed evidence of airway obstruction, taking into account the tumor location of the tumor, we performed cricotracheostomy, and obtained a biopsy specimen from the thyroid for histopathological examination. The lesion was diagnosed as a thyroid lymphoma, and the patient was treated with six courses of R-THP-COP chemotherapy. Following this treatment, he achieved complete remission.</p><p>We present a case of cricotracheostomy performed for a patient with a primary thyroid lymphoma. Despite the tumor surrounding the trachea, by selecting cricotracheostomy, we could create an opening in the airway more easily and safely, and even obtained a biopsy specimen.</p>

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