title: [Thyroid malignant tumor with flare up glottic paralysis for first symptom].
abstract: OBJECTIVE
  To approach clinical feature of thyroid malignant tumor with Flare up glottic paralysis for first symptom, and analysis that should be avoided missed diagnosis and misdiagnosis during diagnosis and treatment.
  
  
  METHODS
  Retrospective research five cases of thyroid malignant tumor with flare up glottic paralysis papillary adenocarcinoma of thyroid by pathology. Four cases had one side glottic paralysis, the same side thyroid were moved after dissecting the recurrent laryngeal nerve. Three cases of them recovered normal vocal cord function, the function of one case was compensated by another side vocal cord. The last one had right gliotic paralysis first, then both cricoarytenoid joint had been fixed, hoarse voice was worse and developed to dyspnea since the tumor invaded in larynx one year later. We only did cut the right thyroid and right half larynx, but the tumor came back again in larynx in three months, then had to removal whole larynx without recurrence follow up two years.
  
  
  CONCLUSIONS
  For the flare up glottic paralysis with same side tiny thyroid tumor, we suggest that the thyroid must be made operation research if no other reasons, dissecting and protecting the recurrent laryngeal nerve during operation, and cut reasonable thyroid and others according to fast pathologic diagnosis.
authors.affiliation: Department of Otolaryngology, the Affiliated Drum Tower Hospital, Nanjing University Medical School, Nanjing, 210008, China. xiagaogao@hotmail.com
authors.forename: Xia
authors.initials: X
authors.lastname: Gao
authors.forename: Yanhong
authors.initials: Y
authors.lastname: Dai
authors.forename: Xiaoyun
authors.initials: X
authors.lastname: Qian
authors.forename: Jie
authors.initials: J
authors.lastname: Chen
authors.forename: Feng
authors.initials: F
authors.lastname: Chen
mesh_terms: D002291:Carcinoma, Papillary / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007823:Laryngeal Nerves / Q000601:surgery; D007830:Larynx / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000209:etiology