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KMID : 1011720220150020135
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International Journal of Thyroidology
2022 Volume.15 No. 2 p.135 ~ p.139
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A Case of Papillary Thyroid Carcinoma Accompanied by Zenker’s Diverticulum: Considerations for Surgery
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Lee Dong-Woo
Lee Hyoung-Shin
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Abstract
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Zenker’s diverticulum is rarely known to be an impediment to the diagnosis and surgical procedure for thyroid disease. In this report, we discuss a rare case of pre-operative diagnosis of asymptomatic Zenker’s diverticulum and surgical treatment of the disease during thyroidectomy. A 48-year-old male was referred to our hospital with multiple thyroid nodules confirmed to be papillary thyroid cancer. Pre-operative ultrasonography and computed tomography scan findings suggested the presence of a left Zenker’s diverticulum. The left pharyngeal pouch was treated by reinforcing the overlying soft tissue during thyroidectomy, without structural injury to the recurrent laryngeal nerve. We report this case with a focus on the considerations during the pre-operative diagnosis and precautions to be taken during surgery, such as the distorted path of the recurrent laryngeal nerve and manipulation of the diverticulum.
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KEYWORD
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Thyroid cancer, papillary, Zenker diverticulum, Recurrent laryngeal nerve, Intraoperative neurophysiological monitoring
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