Papillary carcinoma thyroid presenting as hemoptysis

Subhramanyam C, Padiki S, Parvataneni N, Satishrao I

Pdf Page Numbers :- 82-85

Subhramanyam C^1,*, Snehalatha Padiki¹, Nagendra Parvataneni², and Satish Rao I³

¹Department of Otorhinolaryngology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

²Department of Surgical Oncology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

³Department of Pathology, Krishna Institute of Medical Sciences, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. C. Subhramanyam, MS., ENT (PGI, Chandigarh), Consultant surgeon, Department of Oto Rhino Laryngology, Krishna Institute of Medical Sciences (KIMS), Secunderabad-500003, Telangana, India. Email: drcsubrahmanyam@gmail.com

Received 13 December 2019; Revised 6 March 2020; Accepted 21 March 2020; Published 30 March 2020

Citation: Subhramanyam C, Padiki S, Parvataneni N, Satishrao I. Papillary carcinoma thyroid presenting as hemoptysis. J Med Sci Res. 2020; 8(2):82-85. DOI: http://dx.doi.org/10.17727/JMSR.2020/8-11

Copyright: © 2020 Subhramanyam C et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Papillary carcinoma (PCT) is a common thyroid malignancy all over the world. It is commonly seen in elderly females in 5th, 6th decades. The usual presentation is painless mass in the anterior neck. Patient may have the pressure symptoms like difficulty in swallowing, hoarseness of voice, if the mass is large. Patients with metastatic deposit may manifest with headache and backache. Huge swellings with compression over trachea may cause stridor also. We report a case of elderly female presenting with occasional history of hemoptysis since one year. Computerized tomographic scan revealed a mass in the thyroid region with invasion into the trachea. USG guided fine needle aspiration cytology reported as papillary carcinoma. Fiber optic bronchoscopy confirmed the tracheal invasion.

Keywords: Papillary carcinoma thyroid; CT; invasion; hemoptysis