【摘 要】
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Background:In order to avoid the misdiagnosis of thyroid diseases,we need to discuss the clinical features anddiagnostic methods of cervical esophageal cancer and Zenkers diverticulum.Methods:The clin
【机 构】
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Department of Oncology, The First Affiliated Hospital of Wenzhou MedicalUniversity, South of Bai-xia
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Background:In order to avoid the misdiagnosis of thyroid diseases,we need to discuss the clinical features anddiagnostic methods of cervical esophageal cancer and Zenkers diverticulum.Methods:The clinical and laboratory data of seven cases were reviewed retrospectively,and in all cases,esophageal-related diseases were misdiagnosed as thyroid diseases preoperatively.Among them,two cases werecervical esophageal cancer metastasized to thyroids but initially,they were misdiagnosed as thyroid cancer.Theother five cases were Zenkers diverticulum,but were originally diagnosed as nodular goiter,and two out of the fivecases were found with calcification.They were all detected by ultrasound examination without any clinical featureof esophageal diseases.Previous literatures only reported five cases of thyroid metastasis and three cases of Zenkersdiverticulum.Results:In both cases where cervical esophageal cancer metastasized to thyroid,anterior cervical neoplasm biopsyand surgical removal were performed followed by postoperative radiotherapy and chemotherapy.Both patientsdied from esophageal cancers in 7 and 15 months postoperatively.All five cases of Zenkers diverticulum receivedexcision and repair without any postoperative complication or recurrence in the following 2 to 7 years.Conclusions:Cervical esophageal cancer and Zenkers diverticulum may be misdiagnosed as thyroid disease.Careful and comprehensive diagnostic tests would be required to avoid misdiagnosis.
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