كليدواژه :
Thyroid , Medullary carcinoma , كارسينوم مدولاري , ديسترس تنفسي , تيرويدي , پزشكي
چكيده لاتين :
Intoduction : Medullary carcinoma of thyroid gland is seen in two forms, familial, and sporadic (non familial). Nearly 25% of medullry carcinoma of thyroid gland are familial and 75% are sporadic.
Non familial (sporadic) form had 50% mortality at past, but with early and agressive surgical intervention, this rate has decreased nowadays. Clinical Data : Patient was a 74 years old woman admitted with a mass in front of neck and respiratory distress. Paraclinic evaluations revealed retrosternal thyroid cold nodule measuring 4.5 x 5cm with pressure on trachea. Patient did not allow to do more than dissolving her respiratory distress by removing the mass that seemed it is necessary.
Patient went under larygo-bronchoscopy and thyroidectomy. Five days after operation she released with good health. Microscopic evaluation revealed medullary carcinoma. Two years after operation, clinical signs for recurrence are negative, Cest X-ray, CT scan of mediastinum, kidneys, adrenal glands and sonography of abdomen and retro-peritoneum are normal.
Discussion : Eradication of diaease is not due to good post opertion care and it is due to good biological behavior of original cancer cells and early operation.
