ECE2015 Eposter Presentations Clinical Cases–Thyroid/Other (101 abstracts)
Case report: superior vena cava syndrome secondary to intrathoracic goitre
Bruno Francisco García-Bray 2, , Nieves Cruz Felipe-Pérez 1 , Ricardo Darias-Garzón 1 , Benigno Rivero-Melián 1 & Ignacio Llorente-Gomez de Segura 1
1Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, Spain; 2Orden Hospitalaria San Juan de Dios, Santa Cruz de Tenerife, Spain; 3Hospital Quirón, Santa Cruz de Tenerife, Spain.
Introduction: We introduce a case involving the appearance of superior vena cava syndrome secondary to intrathoracic goitre. We discuss the diagnosis, prognosis and treatment applied to this pathology.
Case report: A 67-year-old woman who presents respiratory distress, cough, and weight loss. After physical examination and a chest radiography showing a mass that occupied the upper and middle right lung lobes, a neoplasm is suspected and at first, palliative radiotherapy is indicated. Chest and abdomen CT are done before treatment and an intrathoracic goitre is diagnosed. Following this finding, surgical treatment is performed.
Conclusions: When a superior vena cava syndrome is diagnosed, additional tests should be performed to discover the real aetiology of the syndrome, which in this case corresponds to a giant intrathoracic goitre. Thyroid function tests and imaging techniques such as ultrasound or CT are indicated in these cases. The treatment of choice of the intrathoracic goitre is surgical removal, especially in cases where compression of adjacent structures is present.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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