A 55 years old lady presented with a rapidly growing swelling for a period of two months, leading to dyspnoea, dysphagia and voice change to hoarseness(T4B N 0 ). On clinical evaluation, there was a 8 x12 cm irregular hard mass without nodes, and lower limit well made and moving on deglutition.
Biochemically she was euthyroid but raised thyroid antibody (TPO). Sonographically solid with calcification -no nodes Extrathyroidal extension was suspected FNAC revealed papillary thyroid carcinoma CT Scan neck was carried out in view of hardness , calcification, and extrathyroidal extension and to contemplate respectability since TNM STAGING WAS IV-B- CECT Scan revealed involvement of trachea and probably esophagus Video laryngoscopy revealed left Recurrent lingual Nerve palsy The tumor was provisionally diagnosed as pap carcinoma and planned for…
