Surgical treatment result of giant thyroid tumor: Case series in Vietnam

Quang Van Le; Hung Van Nguyen; Ngan Thi Kim Mai; Hau Xuan Nguyen

doi:10.1016/j.ijscr.2018.11.047

Surgical treatment result of giant thyroid tumor: Case series in Vietnam

Int J Surg Case Rep. 2019:54:103-107. doi: 10.1016/j.ijscr.2018.11.047. Epub 2018 Nov 24.

Authors

Quang Van Le¹, Hung Van Nguyen², Ngan Thi Kim Mai³, Hau Xuan Nguyen⁴

Affiliations

¹ Department of Oncology, Hanoi Medical University, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Oncology and Palliative Care, Hanoi Medical University Hospital, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Head and Neck Surgery, Vietnam National Cancer Hospital, No 30 Cau Buou Street, Thanh Tri District, Hanoi, Viet Nam. Electronic address: lequang@hmu.edu.vn.
² Department of Oncology, Hanoi Medical University, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam. Electronic address: dr.hungnguyen.hmu@gmail.com.
³ Department of Oncology, Hanoi Medical University, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam. Electronic address: maithikimngan91@gmail.com.
⁴ Department of Oncology, Hanoi Medical University, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam; Department of Oncology and Palliative Care, Hanoi Medical University Hospital, No 1 Ton That Tung Street, Dong Da District, Hanoi, Viet Nam. Electronic address: nguyenxuanhau@hmu.edu.vn.

Abstract

Introduction: Giant thyroid tumors can be associated with severely compressive symptoms and surgery is inevitable for treatment strategy. However, the risk of surgical complications is higher as well as the duration of operation may be longer than those of small thyroid tumors.

Presentation of cases: Two patients with large neck tumors were admitted with history of thyroid goiters for more than 10 years. Recently, the patients have complained of worsening compressive symptoms including dyspnea and dysphagia. Imaging work-up indicated a deviation and compression of trachea. Both patients underwent either lobectomy or thyroidectomy and were discharged without any complications. Final histological results were thyroid adenoma in both cases.

Conclusion: Surgical management is considered as primary treatment for most patients with giant thyroid tumors. It is necessary to be aware of complications and careful dissection to archive a good outcome.

Keywords: Compressive symptom; Giant thyroid tumor; Surgery; Vietnam.