scholarly journals Ectopic Intratracheal Thyroid: A Rare Cause of Airway Obstruction

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Waheed Rahman ◽  
Nafil Ishaq Arimbrathodi ◽  
Faisal Abdulkader ◽  
Hussain Al-Enazi ◽  
Zeynel A. Dogan

Ectopic intratracheal thyroid tissue (EITT) is a rare abnormality with only limited cases reported so far. The presenting symptoms can be very similar to those of bronchial asthma. We discuss the case of a 29-year-old man with subglottic ectopic thyroid, with a history of thyroid surgery for goiter, which has been managed with laser-assisted endoscopic approach. We have also included presenting symptoms, pathophysiology, diagnosis, and management of EITT. We aim to include EITT in the differentials of airway obstruction, particularly in those patients who have goiter or previous thyroid surgeries.

2007 ◽  
Vol 86 (7) ◽  
pp. 406-418 ◽  
Author(s):  
Bariş Karakullukçu ◽  
M. Güven Güvenç ◽  
Harun Cansiz ◽  
Fatih Öktem ◽  
Büge Öz

Intratracheal ectopic thyroid tissue is a rare abnormality that can cause airway obstruction. The symptoms can easily be confused with those of bronchial asthma. We describe the case of a 40-year-old man with subglottic thyroid tissue and multinodular goiter who had been misdiagnosed earlier with bronchial asthma. After the correct diagnosis was established, the lesion was excised via an external approach. We also discuss the clinical features and management of intratracheal thyroid tissue.


Author(s):  
Manoj Kumar ◽  
Rajesh Kumar Gupta ◽  
Raj Kumar ◽  
Sonam Spalgais ◽  
Anil Kumar Mavi ◽  
...  

Asthma is a heterogeneous disease with distinct phenotypes. Serum tIgE, SSIgE and SPT are the methods of evaluating allergen sensitization. The present study evaluates the exposure and sensitization to cockroach (Periplaneta americana) antigens in asthma patients in a metropolitan city of India. The study enrolled 200 consecutive bronchial asthma patients, diagnosed as per GINA guidelines. As per history of exposure to cockroaches, the patients are divided in two groups as exposed and non-exposed asthmatic. All the enrolled subjects underwent SPT against common aeroallergens including cockroach, spirometry and estimation of tIgE level and SSIgE against cockroach. Out of 200 asthma patients, a total of 114 (57%) asthmatic were found SPT positive against one of the common aeroallergens, of which 68 (34%) showed SPT sensitivity against cockroach. A total of 103 (51.5%) patients were found exposed to cockroaches. In the cockroach exposed group, the mean serum tIgE was found significantly higher than the non-exposed group (569.31±224.64 vs 479.29±237 IU/ml; p=0.007). The mean SSIgE against cockroach in exposed groups was found not significant than non-expose group (4.87±11.19 vs 4.11±8.39 KUA/L; p=0.589). The mean tIgE was also not significant in atopic compared to non-atopic asthmatic (553.25±218.12 IU/ml vs 489.1±251.16 IU/ml; p=0.056). The mean SSIgE against cockroach was 5.66±10.45 KUA/L for atopic and 2.96±8.98 KUA/L for non-atopic (p=0.054). The airway obstruction was almost the same in both groups.  Asthmatic patients who were exposed to cockroach and atopic had high tIgE, SSIgE levels and SPT positivity against cockroach antigen compared to non-exposed patients.


2005 ◽  
Vol 20 (4) ◽  
pp. 413 ◽  
Author(s):  
Eun-Young Lee ◽  
Byung Wan Lee ◽  
Jhingook Kim ◽  
Sung Jin Bae ◽  
Tae Sik Jung ◽  
...  

2020 ◽  
Vol 48 (11) ◽  
pp. 030006052097143
Author(s):  
Shiyang Liu ◽  
Wanju Wang ◽  
Lu Zhao ◽  
Kun Wang ◽  
Jing Xu ◽  
...  

Intratracheal ectopic thyroid (ITET) is a rare disease, with limited cases reported in the literature. ITET is an unusual congenital abnormality and can be easily mistaken for a respiratory illness. We present a case of a 61-year-old man with a history of slight discontinuous hemoptysis for 2 years. A tracheal mass, which appeared to be connected to the left thyroid gland, was found by chest computed tomography scan. Ultrasound revealed one suspiciously malignant, solid and hypoechoic nodule in the left thyroid gland. After the thyroid origin of the mass was confirmed by bronchoscopic biopsy, the patient underwent segmental resection and anastomosis of the trachea, together with left thyroidectomy. Histopathology of the tracheal tumor showed adenomatous hyperplastic ITET, and the orthotopic left thyroid gland showed nodular goiter with atypical adenomatous hyperplasia. Clinical suspicion is warranted in patients presenting with a tracheal tumor seemingly connected to the thyroid gland, particularly in patients who have imaging features suggestive of a malignant tumor in the orthotopic thyroid but without confirmative histopathology of malignancy before surgery.


Author(s):  
Sunil Kathuria ◽  
Chikku Sunny

<p>Internal obstruction of the upper airways can be due to infection, anaphylactic reaction, congenital anomaly, foreign body inhalation or mass. The endoluminal presence of thyroid tissue in the trachea is a rare cause of airway obstruction. Only 14 well documented cases of intratracheal ectopic thyroid tissue have been reported in English literature since 1966. These lesions are mostly benign and nearly all patient present with symptoms of respiratory obstruction. This case report is of a lady who presented with upper airway obstruction due to subglottic ectopic thyroid tissue. An ectopic thyroid gland can develop if its normal migration is halted along this tract during embryogenesis. Subglottic location of ectopic thyroid is extremely rare. However, ectopic thyroid tissue in the larynx should be considered as a possible diagnosis causing upper airway obstruction.</p>


Thyroid ◽  
1999 ◽  
Vol 9 (9) ◽  
pp. 955-958 ◽  
Author(s):  
HELLE DØSSING ◽  
KARSTEN E. JØRGENSEN ◽  
ERIK ØSTER-JØRGENSEN ◽  
ANNELISE KROGDAHL ◽  
LASZLO HEGEDÜS

1999 ◽  
Vol 113 (2) ◽  
pp. 183-185 ◽  
Author(s):  
C. K. Hari ◽  
M. J. K. M. Brown ◽  
I. Thompson

AbstractEctopic thyroid tissue within the submucosa of the trachea is a rare cause of upper airway obstruction. Primary neoplasms arising from such thyroid nests are rare. This report describes a case of tall cell variant of papillary carcinoma arising from ectopic thyroid tissue in the trachea.


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