<strong>Introduction:</strong> Metastasis to the thyroid gland is rarely encountered and usually detected after the diagnosis of the primary tumor. The most common sites of primary are breast, kidney, and ...<strong>Introduction:</strong> Metastasis to the thyroid gland is rarely encountered and usually detected after the diagnosis of the primary tumor. The most common sites of primary are breast, kidney, and lung. Prostate has been rarely reported as primary site. Here is reported a case of thyroid metastasis revealing prostate adenocarcinoma. <strong>Case summary:</strong> A 59-year-old man was admitted for pulmonary embolism. CT scan showed a hypertrophy of left thyroid lobe, and ultrasonography of the neck revealed cervical nodes. Thyroid function tests were within normal limits. Total thyroidectomy associated to cervical nodes dissection was done. There was no postoperative complication. Histopathological examination of the surgical specimen concluded to a papillary carcinoma. Then, immunohistochemistry examination revealed prostatic metastatic adenocarcinoma to lymph node and thyroid gland. The patient was treated by androgen deprivation therapy. After thirty three months of follow-up, he is still in good condition with stable disease. <strong>Conclusion:</strong> This case suggests thyroid cancer might be metastasis, and more frequent than known. Surgical specimen of thyroidectomy requires further histological examination such as immunohistochemistry to document primary tumor. Prostate is one of the primary, despite not the most common.展开更多
<strong>Background:</strong> known since more than 5000 years, tracheotomy is indicated in severe obstructions of the upper airways or in improvement of ventilation in cases of problematic tracheal intubat...<strong>Background:</strong> known since more than 5000 years, tracheotomy is indicated in severe obstructions of the upper airways or in improvement of ventilation in cases of problematic tracheal intubation. Its usefulness and efficiency are certain, but it needs regular assessments. <strong>Aim:</strong> to determine the frequency of tracheotomies in ENT at CNHU of Cotonou, identify the indications, surgical technics and the postoperative course. <strong>Materials and methods:</strong> the study was retrospective, based on files of patients who have had tracheotomies for ten years since 2010. <strong>Results:</strong> in 10 years, 105 tracheotomies were performed for 99 patients, average 10 to 11 per year. Patients were male in 61.9%. Extreme of age where 09 months and 80 years old. Children under15 were concerned in 41.9%, while patients from 45 to 64 years old in 33.3%. Emergency tracheotomy represented 76%. Causes were tumors in 62.8%. Laryngeal papillomatosis was the predominant tumor in children;28 cases or 26.67%. In adults, larynx cancer represented 20%. Skin incisions were horizontal in 94.3%. Tracheal opening was “H-shaped” in 92.4%. Complications occurred in 28.6%. They included granuloma (13.3%) and oeso-tracheal fistula (1.9%). Decanulation was possible in 87.6%, but it was more difficult in children. <strong>Conclusion:</strong> tracheotomy was an act of rescue in our practice.展开更多
文摘<strong>Introduction:</strong> Metastasis to the thyroid gland is rarely encountered and usually detected after the diagnosis of the primary tumor. The most common sites of primary are breast, kidney, and lung. Prostate has been rarely reported as primary site. Here is reported a case of thyroid metastasis revealing prostate adenocarcinoma. <strong>Case summary:</strong> A 59-year-old man was admitted for pulmonary embolism. CT scan showed a hypertrophy of left thyroid lobe, and ultrasonography of the neck revealed cervical nodes. Thyroid function tests were within normal limits. Total thyroidectomy associated to cervical nodes dissection was done. There was no postoperative complication. Histopathological examination of the surgical specimen concluded to a papillary carcinoma. Then, immunohistochemistry examination revealed prostatic metastatic adenocarcinoma to lymph node and thyroid gland. The patient was treated by androgen deprivation therapy. After thirty three months of follow-up, he is still in good condition with stable disease. <strong>Conclusion:</strong> This case suggests thyroid cancer might be metastasis, and more frequent than known. Surgical specimen of thyroidectomy requires further histological examination such as immunohistochemistry to document primary tumor. Prostate is one of the primary, despite not the most common.
文摘<strong>Background:</strong> known since more than 5000 years, tracheotomy is indicated in severe obstructions of the upper airways or in improvement of ventilation in cases of problematic tracheal intubation. Its usefulness and efficiency are certain, but it needs regular assessments. <strong>Aim:</strong> to determine the frequency of tracheotomies in ENT at CNHU of Cotonou, identify the indications, surgical technics and the postoperative course. <strong>Materials and methods:</strong> the study was retrospective, based on files of patients who have had tracheotomies for ten years since 2010. <strong>Results:</strong> in 10 years, 105 tracheotomies were performed for 99 patients, average 10 to 11 per year. Patients were male in 61.9%. Extreme of age where 09 months and 80 years old. Children under15 were concerned in 41.9%, while patients from 45 to 64 years old in 33.3%. Emergency tracheotomy represented 76%. Causes were tumors in 62.8%. Laryngeal papillomatosis was the predominant tumor in children;28 cases or 26.67%. In adults, larynx cancer represented 20%. Skin incisions were horizontal in 94.3%. Tracheal opening was “H-shaped” in 92.4%. Complications occurred in 28.6%. They included granuloma (13.3%) and oeso-tracheal fistula (1.9%). Decanulation was possible in 87.6%, but it was more difficult in children. <strong>Conclusion:</strong> tracheotomy was an act of rescue in our practice.
