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BMJ Case Reports 2012; doi:10.1136/bcr-2012-007844
  • Unusual association of diseases/symptoms

An unusual presentation of a calcified thyroid gland

  1. Michael J Kerin
  1. Department of Surgery, University College Hospital Galway, Galway, Ireland
  1. Correspondence to Dr Rebecca Lyons, rebeccalyons1{at}hotmail.com

Summary

A multinodular goitre with cystic degeneration with haemorrhage and subsequent calcification is a common occurrence in long-standing multinodular goitres. But extensive enlargement and calcification causing obstructive symptoms including dysphagia and tracheal shift has not been commonly reported in the literature. Our patient, an 82-year-old man presented with long-standing dysphagia and tracheal shift. His case proved challenging with the retrosternal location of the calcified gland, needing a collar neck incision and a manubriotomy to assess the thyroid. There was a large calcified shell to the gland that made mobilising and removing the gland very difficult. Histology revealed a large multinodular goitre with a large calcified cyst representing previous cyst haemorrhage which underwent calcification. Symptoms resolved postsurgical intervention.

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