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International Bulletin of Otorhinolaryngology

Evaluation of the trachea and bronchi for infiltration and ruptures of a neoplastic process originating from the thyroid gland

Mitko Mitev

Abstract

Background: evaluation of the trachea and bronchi for infiltration and ruptures of a neoplastic process originating from the thyroid gland.
Methods: virtual bronchoscopy with multidetector computed tomography; standard criteria.
Results: The present is a case of changes in the shape of the trachea from external compression, stenosis and dislocation, diagnosed with virtual bronchoscopy in a woman of 57 years, as a result of a tumour formation, originating from the thyroid gland (struma nodosa). The described morphological characteristics of the findings from the axial and multiplanar reconstructions of the native and intravenous post-contrast computed tomography point to the benign characteristics of the formation
Conclusions: with virtual bronchoscopy, the degree of stenosis and its length can be established, a lack of infiltration of the wall by the formation can be proved, as well as the absence of enlarged lymph nodes. Virtual bronchoscopy allows making evaluation of the carina. VB of the CT examination did not detect infiltrations and abnormalities of the wall as fistulous passages, and no evidence of tracheal and bronchial ruptures from the described neoplastic process.

Keywords

Virtual bronchoscopy, Thyroid carcinoma, Tracheal rupture

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References

Finkelstein S E, Summers R M, Nguyen D M, Stewart IV J H, Tretler J A, Schrump D S. Virtual bronchoscopy for evaluation of malignant tumors of the thorax. J Thorac Cardiovasc Surg 2002; 123: 967-7. doi:10.1067/mtc.2002.121495

Obretenov Е, Arabadzhiev G, Vylcheva S. Postintubation Thrachea Lesion – A Modern Behavior Algorithm. J Bulg Thor Card and Vasc Surg 2014; 1: 15-23.

Mitev M A. Virtual bronchoscopy with Multidetector computer tomography. PhD Thesis, Stara Zagora: Trakia University, 2017: 180.

Shinagava N, Yamazaki K, Onodera Y, Asano F, Ishida T, Moriya H, Nishimur M. Virtual bronchoscopic navigation system shortens the examination time – Feasibility study of virtual bronchoscopic navigation system. Lung Cancer 2007; 56: 201-206. Doi: 10.1016/

j. lungcan.2006.12.005

Boiselle Ph, Lee K, Ernst A. Multidetector CT of the Central Airways. Journal of Thoracic Imaging 2005; 20 (3): 186-195. DOI: 10.1097/01. rti.0000171624.84951.f2, PMID:16077334

Kang E. Large Airway Diseases. Journal of Thoracic Imaging 2011; 26 (4): 249–262. DOI: 10.1097/RTI.0b013e31822428ef, PMID:22009079

Bedayat A, Yang E, Chandili S, Galera P, Chalian H, Ansari-Gilani K, Guo H H. Tracheobronchial Tumors: Radiologic – Pathologis Correla-tion of Tumors and Mimics. Current Problems in Diagnostic Radiology 2019; 1-10. https://doi.org/10.1067/j.cpradiol.2019.04.003

Shepard J O, Flores E J, Abbott G F. Imaging of the trachea. Ann Cardiothorac Surg 2018; 7 (2): 197-209. doi: 10.21037/acs.2018.03.09

Ferretti G R, Knoplioch J, Bricault I, Brambilla Ch, Coulomb M. Central airway stenoses: preliminary results of spiral – CT – generated virtual bronchoscopy simulations in 29 patients. Eur. Radiol. 1997; 7: 854–859. https://doi.org/10.1007/s003300050218

Unverdi Z, Kervancioglu R, Unverdi S, Menzilcioglu M S. In the evaluation of tracheobronchial lesions, MDCT virtual bronchoscopy with fiber optic bronchoscopy comparison. Medical Science and Discovery 2019; 6 (8): 136-44. Doi: 10.17546/msd.584332

Fleiter T, Merkle E M, Aschoff A J, et al. Comparison of real-time virtual andfiberoptic bronchoscopy in patients with bronchial carci-noma: opportunities and limitations. Am J Roentgenol 1997; 169: 1591-1595. DOI: 10.2214/ajr.169.6.9393172 PMID: 9393172

Liewald F, Lang G, Fleiter T H, Sokiranski R, Halter G, Orend K H. Comparison of virtual and fiberoptic bronchoscopy.Thorac Cardio-vasc Surg 1998; 46: 361-364. Doi: 10.1055/s-2007-1010254




DOI: http://dx.doi.org/10.14748/orl.v15i4.6360

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