2019
DOI: 10.1136/bcr-2019-229330
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Massive hemoptysis: an unusual presentation of papillary thyroid carcinoma due to tracheal invasion

Abstract: A 67-year-man presented to the emergency department with massive hemoptysis, coughing up about 250 mL frank blood in 2–3 hours. Physical examination was significant for tachycardia, tachypnea and blood around the mouth. A CT of the chest did not reveal any aetiology of hemoptysis. Flexible fiberoptic bronchoscopy was remarkable for an actively oozing 1×1 cm sessile subglottic polyp on the anterior tracheal wall. CT neck revealed a 2.5×2.4 cm pretracheal soft tissue mass, bulging into the subglottic trachea. Fi… Show more

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Cited by 5 publications
(4 citation statements)
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“…Thyroid cancers with tracheal invasion rarely present as massive haemoptysis, which have been reported in isolated case reports 2 3. In our case, fibreoptic bronchoscopy could not identify tracheal erosion from malignant thyroid tissue due to presence of endotracheal tube.…”
Section: Discussionmentioning
confidence: 45%
“…Thyroid cancers with tracheal invasion rarely present as massive haemoptysis, which have been reported in isolated case reports 2 3. In our case, fibreoptic bronchoscopy could not identify tracheal erosion from malignant thyroid tissue due to presence of endotracheal tube.…”
Section: Discussionmentioning
confidence: 45%
“…This aggressive presentation, however, remains uncommon. Aslam et al 4 and Parsuraman et al 5 have reported cases of thyroid malignancy presenting with hemoptysis.Kuperberg et al have reported a similar case where they have used argon plasma coagulation (APC) for control of hemorrhage. 6 Other modalities like electrocautery, laser photocoagulation, use of topical haemostatic agents, local vasoconstrictors, injection tranexamic acid have been described in literature.…”
Section: Discussionmentioning
confidence: 99%
“…Complete surgical resection including the involved structures of papillary thyroid carcinoma with margin-free potentially results in curative outcome and long-term survival 2. A positive surgical margin is frequently found in T4 papillary thyroid cancer which is associated with poorer prognosis 2 5. Extrathyroidal extension is an independent prognostic marker in papillary thyroid cancer 2 5 6.…”
Section: Descriptionmentioning
confidence: 99%
“…A positive surgical margin is frequently found in T4 papillary thyroid cancer which is associated with poorer prognosis 2 5. Extrathyroidal extension is an independent prognostic marker in papillary thyroid cancer 2 5 6. The presence of extrathyroidal extension, positive lymph node, older age might require more aggressive treatment and intensive surveillance 2…”
Section: Descriptionmentioning
confidence: 99%