[Emergency thyroidectomy for primitive lymphoma of thyroid. Case report and diagnostic and therapeutic guidelines].
OBJECTIVE
A case of acute wheezing causing primitive thyroid lymphoma observed ay the Operative Unit of General and Thoracic Surgery of the University "P Giaccone" of Palermo, Italy, is reported.


METHODS
Diagnostic, clinical and prognostic indication, evaluation of effectveness of radical surgical treatment and follow-up.


METHODS
Emergency radical surgical treatment (debulking) and surgical tracheostomy (tracheal infiltration).


RESULTS
Complete recovery with "restitutio ad integrum". No relapse were recorded ad short follow-up.


CONCLUSIONS
Total thyroidectomy in front of uncertain cytology with the suspect of Hashimoto' s treatment or acute wheezing or localized neoplasm (IE or IIE) is feasible and rationale. If possible, this treatment of choice must observe standard technique, with visualization and respect of four parathyroid glands and recurrent laryngeal nerves. This intervention has good prognosis and low morbidity and mortality in well experiences surgical teams of thyroid surgery.
Sciumè
Carmelo
C
Università di Palermo, Azienda Ospedaliera Policlinico "P. Giaccone" Dipartimento di Chirurgia Generale d'Urgenza e dei Trapianti d'Organo, Sezione di Chirurgia Generale ad Indirizzo Toracico. carmesci@hotmail.com
Geraci
Girolamo
G
Volsi
Francesco Li
FL
Pisello
Franco
F
Cajozzo
Massimo
M
Cocchiara
Gerlando
G
Modica
Giuseppe
G
D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004632:Emergency Medical Services; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000601:surgery*; D017410:Practice Guidelines as Topic; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*