Korean J Gastrointest Endosc.  2001 Dec;23(6):466-469.

Direct Invasion of Thyroid Papillary Carcinoma to Esophagus Presenting as an Intraluminal Polypoid Mass Which Causes Hematemesis

Affiliations
  • 1Department of Internal Medicine, Hanil Hospital, Seoul, Korea.
  • 2Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. lwj@ilsanpaik.ac.kr

Abstract

We report an unusual case of metastatic thyroid papillary carcinoma directly invades the esophagus presenting as an intraluminal polypoid mass which causes hematemesis. The patient had a past medical history of thyroid nodule. Physical examination was unremarkable except the palpable thyroid mass. Esophagoscopy and esophagography revealed an intraluminal polypoid mass to the left of the cervical esophagus. Chest computed tomography showed round, homogenous, well-enhancing mass and calcifying thyroid nodule is found in front of the mass. Thyroid lobectomy and partial esophageal resection was performed. Microscopic finding showed typical features of thyroid papillary carcinoma. Metastatic thyroid papillary carcinoma should be included in the differential diagnosis of an intraluminal polypoid esophageal mass, particularly if the patient has a known thyroid tumor.

Keyword

Hematemesis; Thyroid papillary cancer; Esophageal invasion

MeSH Terms

Carcinoma, Papillary*
Diagnosis, Differential
Esophagoscopy
Esophagus*
Hematemesis*
Humans
Physical Examination
Thorax
Thyroid Gland*
Thyroid Nodule
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