Woman with 600g thyroid tumor causing difficulty breathing

On October 18, specialist 2 Tran Nhu Hung Viet, Head of the Department of Thoracic Vascular Surgery - Goiter, Gia Dinh People's Hospital, Ho Chi Minh City, said that the results of ultrasound and thyroid function tests showed that the patient had high thyroid hormones and was diagnosed with hyperthyroidism, large left lobe multinodular goiter, taking antithyroid drugs and preparing for surgery. After 3 months of continuous treatment with gradually reduced doses of antithyroid drugs, the patient's thyroid function reached a stable limit and was transferred to the Anesthesia and Resuscitation Department for surgery.

Here, the CT scan results of the neck and chest showed a large, deformed goiter in the left neck area, with the potential to compress surrounding structures, especially the trachea, and possibly mediastinal prolapse.

Người phụ nữ bị khối u tuyến giáp hơn 30 năm chèn ép gây khó thở - Ảnh 1. — The large tumor made it difficult for the patient to breathe.

Doctor Viet said that this was a case of a patient with a large goiter compressing the trachea. Due to the large tumor, during anesthesia, endotracheal intubation was a huge challenge, requiring the surgeon to have proficient skills and the smooth coordination of the team. To facilitate the intubation under anesthesia, the respiratory doctor was ready to assist with endoscopy in the operating room when needed.

"After successful intubation, the doctors discovered that the left lobe multinodular goiter was large, calcified, compressing and pushing the trachea to the right and partially hanging down into the mediastinum. This made it difficult to dissect the goiter and preserve important nearby structures such as the recurrent laryngeal nerve, trachea and large blood vessels," Dr. Hung shared.

The surgery lasted about 2 hours, completely removing the left lobe of the thyroid gland, leaving healthy thyroid tissue in the right lobe. The patient was extubated and transferred to the Thoracic and Vascular Surgery Department. The removed tumor measured 84x81x158mm and weighed 600 grams.

One day after surgery, the patient could speak clearly, his hands were not numb, and the surgical wound was dry. The patient was discharged from the hospital in stable condition.

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