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Urbón-sánchez P, Mendoza-Moreno F, Sánchez De Toca-Gómez S, Mañes-Jiménez F, Jiménez-Martín R, Bru-Aparicio M, Laguna-Hernández P, Allaoua-Moussaoui Y, Soto-Schutte S, Quiroga-Valcárcel A, Díez-Alonso M, Lasa Unzúe I, Gutiérrez-Calvo A. Thyroid abscess, an uncommon diagnosis: A case report and mini‑review of the literature. Med Int (Lond) 2024; 4:29. [PMID: 38660126 PMCID: PMC11040282 DOI: 10.3892/mi.2024.153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 02/23/2024] [Indexed: 04/26/2024]
Abstract
Thyroid abscess is a rare entity, commonly experienced by immunocompromised patients, or those who have anatomical abnormalities or a pre-existing thyroid disease. An early diagnosis continued by treatment with antibiotics and drainage of the abscess is the recommended therapeutic strategy for such cases. The present study describes a clinical case of this rare event, and also provides a brief literature review. The present study describes the case of a 48-year-old healthy male with no medical antecedents, apart from acute prostatitis treated with antibiotics for 6 days prior, who visited the Emergency Department of the authors' hospital with neck pain and progressive swelling of the mass. Diagnostic imaging confirmed the authors' suspicion of an abscess and revealed the lesion displacing the airway to the contralateral side. This restricted the mobility of the neck of the patient. As an emergency measure, the patient was then taken to the operating room for a neck examination. A hemithyroidectomy was finally performed. Following a prolonged hospital duration, he was discharged from the hospital and his recovery was uneventful without any voice alterations, hypocalcemia or recurrence.
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Affiliation(s)
- Patricia Urbón-sánchez
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Fernando Mendoza-Moreno
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | | | - Félix Mañes-Jiménez
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Rubén Jiménez-Martín
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Marta Bru-Aparicio
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Pilar Laguna-Hernández
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Yousef Allaoua-Moussaoui
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Sonia Soto-Schutte
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Ana Quiroga-Valcárcel
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Manuel Díez-Alonso
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Inmaculada Lasa Unzúe
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
| | - Alberto Gutiérrez-Calvo
- Department of General and Digestive Surgery, Príncipe de Asturias Teaching Hospital, 28805 Madrid, Spain
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Laguna-Hernández P, Mendoza-Moreno F, Bru-Aparicio M, Alvarado-Hurtado R, Soto-Schütte S, Serrano-Yébenes E, Allaoua-Moussaoui Y, Mañes-Jiménez F, Jiménez-Martín R, Jiménez-Alvarez L, Córdova-Garcia D, Diez-Alonso MM, Gutiérrez-Calvo A. Uterine carcinosarcoma with intestinal involvement: A case report and literature review. Med Int (Lond) 2023; 3:15. [PMID: 36925759 PMCID: PMC10012404 DOI: 10.3892/mi.2023.75] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 02/28/2023] [Indexed: 03/05/2023]
Abstract
Uterine carcinosarcoma (UCS) is a high-grade endometrial cancer characterized by two components: Carcinomatous (epithelial) and sarcomatous (stromal tissue) elements. The present study describes a clinical case of this type of UCS and also provides a brief literature review of this type of tumor. A 72-year-old female visited the emergency department of the authors' hospital with pain in the hypogastric region, intestinal dysrhythmia since 3 months prior, fever and a palpable abdominal mass. Laboratory test results revealed sepsis and mild anemia and an imaging test revealed a large uterine tumor with wide areas of necrosis and adenopathies. As determined by the multidisciplinary committee, surgery was considered the main treatment option and this was performed with no incidences. Carcinosarcoma is a rare tumor, which most frequently occurs in older women. The diagnosis is based on symptoms and imaging tests, such as ecography and scans. The gold standard of treatment is surgery, although it is possible that other types of therapies, such as chemotherapy and radiotherapy may also be effective, depending on the tumor stage. On the whole, the prognosis of patients with this type of tumor is poor, with a low survival rate, even in earlier stages due to its malignant component and the possibility for metastasis. Surgery is the optimal treatment for this type of tumor, if this is possible, always individualizing patients.
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Affiliation(s)
- Pilar Laguna-Hernández
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Fernando Mendoza-Moreno
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Marta Bru-Aparicio
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Ricardo Alvarado-Hurtado
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Sonia Soto-Schütte
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Eduardo Serrano-Yébenes
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Youssef Allaoua-Moussaoui
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Felix Mañes-Jiménez
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Rubén Jiménez-Martín
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Laura Jiménez-Alvarez
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Diego Córdova-Garcia
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Manuel Mariano Diez-Alonso
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
| | - Alberto Gutiérrez-Calvo
- General Surgery Service, Príncipe de Asturias University Hospital, Alcalá de Henares, 28805 Madrid, Spain
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Quiroga-Valcárcel A, Mendoza-Moreno F, Matías-García B, Allaoua-Moussani Y, Soto-Schütte S, García-Rico E, Bru-Aparicio M, Laguna-Hernández P, Mañes-Jiménez F, Jiménez-Martín R, Blázquez-Martín A, Vera-Mansilla C, Casalduero-García L, Diego-García L, Córdova-García D, Díez-Alonso MM, Gutiérrez-Calvo AJ. Right hemicolectomy with D2 lymphadenectomy for adenocarcinoma of the colon. Oncological results. European Journal of Surgical Oncology 2023. [DOI: 10.1016/j.ejso.2022.11.382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
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Matías-García B, Alvarado-Hurtado R, Serrano-Yébenes E, Soto-Schütte S, Quiroga-Valcárcel A, Allaoua-Moussaoui Y, Laguna-Hernández P, Bru-Aparicio M, Mendoza-Moreno F, Blázquez-Martín A, Vera-Mansilla C, Ovejero-Merino E, Minguez-García J, Casalduero-García L, Diego-García L, García-Moreno-Nisa F, Díez-Alonso M, Gutiérrez-Calvo A. Does the extent of lymphadenectomy and the presence of positive lymphadenopathy influence survival and disease-free interval after left hemicolectomy? European Journal of Surgical Oncology 2022. [DOI: 10.1016/j.ejso.2021.12.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Matías-García B, Alvarado-Hurtado R, Serrano-Yébenes E, Soto-Schütte S, Quiroga-Valcárcel A, Allaoua-Moussaoui Y, Laguna-Hernández P, Bru-Aparicio M, Mendoza-Moreno F, Vera-Mansilla C, Blázquez-Martín A, Ovejero-Merino E, Casalduero-García L, Mínguez-García J, Diego-García L, Díez-Alonso M, Gutiérrez-Calvo A. Risk factors for anastomotic leakage after total colectomy in patients with colorectal carcinoma. European Journal of Surgical Oncology 2022. [DOI: 10.1016/j.ejso.2021.12.162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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