title: Palliative and end of life care issues of carcinoma thyroid patient.
abstract: Malignancies of the thyroid gland has steadily increased over the last few decades, out of which mostly are differentiated carcinomas of the papillary or of follicular type, have a good prognosis and highest cure rate if treatment commences early. Here, we report a case of an 18-years-old boy with a huge multinodular goiter, which compromised the airway and lung metastasis, presented at advance stage of disease in tertiary care center. Factors prevent early diagnosis and treatment, distressing symptoms patient can develop, palliation of those symptoms, and effort to be made to prevent the delay are highlighted.
authors.affiliation: Department of Anaesthesiology, Pain and Palliative Care, Dr. B.R.A Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Alka
authors.initials: A
authors.lastname: Goyal
authors.forename: Rahul
authors.initials: R
authors.lastname: Gupta
authors.forename: Syed
authors.initials: S
authors.lastname: Mehmood
authors.forename: Svs
authors.initials: S
authors.lastname: Deo
authors.forename: Seema
authors.initials: S
authors.lastname: Mishra
authors.forename: Sushma
authors.initials: S
authors.lastname: Bhatnagar
keywords: Follicular carcinoma thyroid; Multinodular goiter; Palliative treatment; Well-differentiated carcinoma