Abstract
Well-known complications of thyroid enlargement and papillary carcinoma include compression or invasion of the trachea, esophagus, and/or vascular structures. Recurrent laryngeal nerve invasion by thyroid carcinoma is not uncommon, and phrenic nerve invasion has also been described. Preoperative dysfunction of a vocal cord, which often implies invasive carcinoma, may necessitate recurrent laryngeal nerve sacrifice and is therefore rreversible. We present an unusual case of reversible brachial plexus compression in a patient with massive thyroid enlargement and papillary carcinoma.
MeSH terms
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Biopsy, Needle
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Brachial Plexus Neuropathies / etiology*
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Brachial Plexus Neuropathies / pathology
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Brachial Plexus Neuropathies / therapy
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Carcinoma, Papillary / complications
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Carcinoma, Papillary / pathology*
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Carcinoma, Papillary / surgery
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Electromyography
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Emergency Service, Hospital
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Follow-Up Studies
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Hand Strength
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Humans
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Immunohistochemistry
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Male
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Middle Aged
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Muscle Weakness / diagnosis
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Muscle Weakness / etiology
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Neoplasm Invasiveness / pathology*
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Neoplasm Staging
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Recovery of Function
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Thyroid Neoplasms / complications
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Thyroid Neoplasms / pathology*
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Thyroid Neoplasms / surgery
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Thyroidectomy / methods
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Tomography, X-Ray Computed
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Treatment Outcome