Left Hemithyroidectomy in Combined Thyroid Cancer with Previous Right Lobe Tumour Surgery: a Clinical Case

Abstract

Background. Combined thyroid cancer is extremely rare. There is no unified approach currently to the choice of treatment and extent of surgery in combined cancer.Aim. A clinical case description of left hemithyroidectomy for follicular papillary cancer in a patient previously operated for follicular right lobe cancer with right recurrent laryngeal nerve injury.Materials and methods. Patient N., 48 yo, had a routine surgical admission in December 2019 with nodular goiter in left thyroid lobe. Suspicio c-r of left thyroid lobe. Condition after right hemithyroidectomy in 2002, postoperative paresis of right recurrent laryngeal nerve.Results. The patient had a routine surgery upon further examination. Morbid histology corresponded to follicular papillary cancer of left thyroid lobe.Discussion. Combined thyroid cancers are relatively poorly documented, stimulating further case studies. The chosen extent of surgery and iatrogenic injury of right recurrent laryngeal nerve in history are also distinctive of this clinical case.Conclusion. A non-standard extent of surgery is described in a clinical case of combined thyroid cancer complicated by postoperative paresis of right recurrent laryngeal nerve in history.

Keywords

• папиллярный рак щитовидной железы
• послеоперационные осложнения
• парез
• повреждения возвратного гортанного нерва
• тиреоидэктомия
• лимфодиссекция