A case report of coexisting multinodular goiter with carotid body tumor

Int J Surg Case Rep. 2024 Apr:117:109570. doi: 10.1016/j.ijscr.2024.109570. Epub 2024 Mar 20.

Abstract

Introduction: Carotid body tumor (CBT), a neuroendocrine neoplasm, and benign multinodular goiter (BMNG) are distinct pathologies affecting the neck region. Although rare, they can occur concurrently. This case contributes to the limited evidence regarding the association between these distinct pathologies and their operative management.

Case presentation: The patient was a 45-year-old female with a palpable mass on the right side of her neck. She was diagnosed with Shamblin type III non-secretory CBT alongside BMNG. The surgical intervention included resection of the CBT, carotid artery bypass, and Dunhill thyroidectomy.

Discussion: This case is the third reported instance of coexisting CBT and BMNG. Their causative relationship is evident in the literature without a clear explanation of the underlying mechanism. Both conditions are treated surgically. Dunhill thyroidectomy for BMNG is a safer option, offering more flexibility and advantages over other thyroidectomies.

Conclusion: This case highlights the complexity of managing such dual pathologies and may provide further evidence of their association.

Keywords: Benign multinodular goiter; Carotid artery bypass; Carotid body tumor; Case report; Dunhill thyroidectomy.

Publication types

  • Case Reports