A Case of Anterior Neck Hematoma Causing Tracheal Compression after Fine Needle Aspiration Cytology of the Thyroid Nodule

갑상선결절 세침흡인 세포검사 후 기관 압박을 초래한 전경부 혈종 1예

  • Park Min-Ho (Department of Surgery, Chonnam National University Medical School) ;
  • Cho Mun-Hyeong (Department of Surgery, Chonnam National University Medical School) ;
  • Seo Kyoung-Won (Department of Surgery, Chonnam National University Medical School) ;
  • Yoon Jung-Han (Department of Surgery, Chonnam National University Medical School) ;
  • JaeGal Young-Jong (Department of Surgery, Chonnam National University Medical School)
  • 박민호 (전남대학교 의과대학 외과학교실) ;
  • 조문형 (전남대학교 의과대학 외과학교실) ;
  • 서경원 (전남대학교 의과대학 외과학교실) ;
  • 윤정한 (전남대학교 의과대학 외과학교실) ;
  • 제갈영종 (전남대학교 의과대학 외과학교실)
  • Published : 2005.11.01

Abstract

Fine needle aspiration cytology (FNAC) of thyroid gland lesions has become a routine diagnostic method. And fine needle aspiration cytology is considered a safe, reliable and cost-effective means of selecting thyroid nodules with risk for malignancy. However, fine needle aspiration cytology of the thyroid may cause hemorrhage, infection, or trauma to adjacent structures. Hemorrhage sufficient to cause tracheal compression has not been reported. So we present a case of anterior neck hematoma causing tracheal compression after FNAC of the thyroid nodule.

References

  1. Hall TL, Layfield LJ, Philippe A, Rosenthal DL: Sources of diagnostic error in fine needle aspiration of thyroid. Cancer. 1989; 63:718-725 https://doi.org/10.1002/1097-0142(19890215)63:4<718::AID-CNCR2820630420>3.0.CO;2-N
  2. Rojeski MT, Gahrib H: Nodular thyroid disease: evaluation and management. N Engl J Med. 1985;313:428-436 https://doi.org/10.1056/NEJM198508153130707
  3. Hooft L, Hoekstra OS, Boers M, Van Tulder MW, Van Diest P, Lips P: Practice, efficacy, and costs of thyroid nodule evaluation: a retrospective study in a dutch university hospital. Thyroid. 2004; 14:287-293 https://doi.org/10.1089/105072504323030942
  4. La Rosa GL, Belfiore A, Giuffrida D, et al: Evaluation of the fine needle aspiration biopsy in the preoperative selection of cold thyroid nodules. Cancer. 1991;67:2137-2141 https://doi.org/10.1002/1097-0142(19910415)67:8<2137::AID-CNCR2820670822>3.0.CO;2-Y
  5. Belfiore A, La Rosa GL: Fine-needle aspiration biopsy of the thyroid. Endocrinol Metab Clin North Am. 2001;30:361-400 https://doi.org/10.1016/S0889-8529(05)70191-2
  6. Ashcraft MW, Van Herle AJ: Management of thyroid nodule: scanning techniques, thyroid suppressive therapy and fine-needle aspiration. Head Neck Surg. 1981;3:297-322 https://doi.org/10.1002/hed.2890030406
  7. Silverman JF, West RL, Larkin EW, et al: The role of fine-needle aspiration biopsy in the rapid diagnosis and management of thyroid neoplasms. Cancer. 1986;57:1164-1170 https://doi.org/10.1002/1097-0142(19860315)57:6<1164::AID-CNCR2820570617>3.0.CO;2-S
  8. Mackenzie EJ, Mortimer RH: Thyroid nodules and thyroid cancer. Med J Aust. 2004;180:242-247
  9. Miskin M, Rosen I, Walfish PG: B-mode ultrasonography in assessment of thyroid gland lesions. Ann Intern Med. 1973;80: 505-510
  10. Walfish PG, Hazani E, Strawbridge HT, Miskin M, Rosen IB: Combined ultrasound and needle aspiration cytology in the assessment and management of hypofunctioning thyroid nodules. Ann Intern Med. 1997;87:270-274
  11. Rizzatto G, Solbiti L, Croce F, Derchi LE: Aspiration biopsy of superficial lesions: ultrasound guidance with a linear-array probe. A Am J Roentgenol. 1987;148:623-625 https://doi.org/10.2214/ajr.148.3.623
  12. Rosen IB, Azadian A, Walfish PG, Salem S, Lansdown E, Bedard YC Ultrasound-guided fine needle aspiration biopsy in the management of thyroid disease. Am J Surg. 1993;166:346-349 https://doi.org/10.1016/S0002-9610(05)80329-0
  13. Hatada T, Okada K, Ishii H, Ichii S, Utsubomiya J: Evaluation of ultrasound-guided fine-needle aspiration biopsy for thyroid nodules. Amm J Surg. 1998;175:133-136 https://doi.org/10.1016/S0002-9610(97)00274-2
  14. Sanchez RB, van Sonnenberg E, D'Agostino HB, et al: Ultrasound-guided biopsy of non palpable and difficult to palpate thyroid masses. J Am Coil Surg. 1994;178:33-37
  15. Boey J, Hsu C, Collins RJ, Wong J: A prospective controlled study of fine needle aspiration and Tru-Cut needle biopsy of dominent thyroid nodules. World J Surg. 1984;8:458-465 https://doi.org/10.1007/BF01654913
  16. Lundquist A: Liver biopsy with a needle of 0.7mm outer diameter: Safety and quantitative yield. Acta Med Scand. 1970;188:471-474
  17. Hales MS, Hsu FSF: Needle tract implantation of papillary carcinoma of the thyroid following aspiration biopsy. Acta Cytol. 1990;34:801-804
  18. Panunzi C, Paliotta DS, Papini E, Petrucci L, Rinaldi R, Nardi F: Cutaneous seeding of a follicular thyroid cancer after fine-needle aspiration biopsy? Diagn Cytopathol. 1994;10:156-158 https://doi.org/10.1002/dc.2840100212
  19. Gordon DL, Gattuso P, Castelli M, et al: Effect of fine needle aspiration biopsy on the histology of thyroid neoplasms. Acta Cytol. 1993;37:651-654