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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0002" class="elsevierStylePara elsevierViewall">Endobronchial metastasis from extrapulmonary tumors is a rare clinical condition&#44; most often due to systemic spread of breast&#44; kidney&#44; or colorectal cancers&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Thyroid cancer can lead to bone&#44; lung&#44; liver&#44; or brain metastasis but&#44; like other malignancies&#44; rarely involves the tracheo-bronchial tree&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Oncocytic thyroid carcinoma &#40;OTC&#41; is a follicular thyroid neoplasm that accounts for 4&#37; of thyroid cancers&#46; It may be extremely aggressive and often tends to spread locoregionally and give rise systemic metastasis&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> Known as H&#252;rthle cell carcinoma&#44; the new WHO 2022 classification of thyroid cancers proposed the current name of oncocytic carcinoma because of its peculiar histological features&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> Oncocytic cells&#44; which can be found in other organs&#44; are in fact cells with different characteristics from the original ones&#44; characterized by eosinophilic cytoplasm due to the presence of numerous mitochondria&#46; These changes may occur with aging&#44; inflammation or generally high levels of oxidative stress as part of a process of metaplasia&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> Essential features of malignancy are vascular and&#47;or capsular invasion&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> Here&#44; we describe the case of a 73-year-old patient&#44; former smoker of 10 cigarettes per day for 15 years &#40;equal to 7&#46;5 pack-year&#41;&#44; with endobronchial occlusion of the right upper lobe bronchus &#40;RULB&#41;&#44; with a past history of OTC undergone hemithyroidectomy twenty years before&#46; He sought our attention 2 years ago due to the onset of cough in association with persistent dyspnea on exertion for several months&#46; No additional comorbidities were present&#46; Physical examination demonstrated mild reduction of breath sounds in the upper third of right hemithorax&#46; Chest X-ray had raised suspicion of dysventilatory areas of the superior lobe&#46; In consideration of the clinical presentation and medical history&#44; a contrast-enhanced chest computed tomography &#40;CT&#41; was performed&#44; which showed multiple nodules suggestive of metastasis with a particular focus on a solid material&#44; characterized by contrastographic enhancement&#44; located in the RULB and the segmental and subsegmental branches of the anterior bronchus &#40;B3&#44; B3a and B3b&#41;&#46; Additionally&#44; some pericentimetric paratracheal and aortopulmonary window lymph nodes were reported&#46; A flexible bronchoscopy was therefore scheduled with diagnostic and therapeutic purposes&#44; to take biopsy samples and obtain recanalization&#46; The procedure revealed a vegetant mass determining stenosis estimated to be 90&#37; of the RULB extended to the right main bronchus &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>a&#41;&#46; The patient then underwent laser-therapy&#44; biopsies and unblocking with jumbo forceps&#44; during the same diagnostic procedure conducted through flexible bronchoscopy &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>b&#44; after treatment&#41;&#46; All these interventions were performed while the patient was breathing spontaneously under moderate analgosedation&#46; Finally&#44; low-power laser therapy was performed on the distal portion of the metastasis that remained macroscopically visible at the level of the RULB&#46; Laser treatment aimed at controlling symptoms and tumor growth&#46; After just one laser session&#44; the patient referred improved exertional dyspnea&#46; Histopathological examination performed on the biopsy material was positive for oncocytic neoplasm &#40;or H&#252;rthle cell neoplasm&#41; with thyroid-derived immunophenotypic characters &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>c&#41;&#44; therefore consistent with metastatic oncocytic carcinoma&#46; In this case&#44; positivity was reported for the following immunohistochemical stains&#58; cytokeratin-19 &#40;CK-19&#41;&#44; thyroid transcription factor-1 &#40;TTF-1&#41; and Thyroglobulin &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>d&#41;&#46; The subsequent treatment was guided by the oncologist&#44; who prescribed tyrosine kinase inhibitor therapy &#40;Lenvatinib&#41; on the basis of the appearance of distant bulky metastases and referred the patient to surgery to perform a radical thyroidectomy&#46; The patient also underwent bronchoscopy follow-up&#44; which showed no new endobronchial lesions to date&#46; Based on this rare event&#44; a literature review was conducted to assess the incidence and time of onset of endobronchial metastases from this type of tumor&#46; To the best of our knowledge&#44; this is the first published case of such late-onset of even rare bronchial tree metastasis from OTC&#46; Only four cases of endobronchial metastasis from oncocytic thyroid cell tumor were identified<a class="elsevierStyleCrossRefs" href="#bib0004"><span class="elsevierStyleSup">4&#8211;7</span></a> &#40;<a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a>&#41;&#46; In all these cases&#44; including ours&#44; it is plausible to suspect a mechanism for the development of endobronchial metastases as a result of lymphatic spread&#46; Involvement of lymph nodes &#40;especially the hilar lymph nodes&#41; was indeed noted in our patient and in some of the cases reported in the literature&#46;</p><elsevierMultimedia ident="fig0001"></elsevierMultimedia><elsevierMultimedia ident="tbl0001"></elsevierMultimedia><p id="para0003" class="elsevierStylePara elsevierViewall">We believe that our case is peculiar&#44; based both on the very rare occurrence and therefore on the considerable latency period between the diagnosis of the primary neoplasm and the subsequent appearance of the metastases&#46; In fact&#44; it is estimated that 25&#37; of cases of OTC may develop metastatic disease&#44; with a median time of 50 months&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> In our report&#44; the time from hemithyroidectomy to the first CT finding of metastatic endobronchial lesion was 20 years&#46; Thus&#44; it represents a late onset of disease recurrence that exceeds the average reported in the literature&#46; In conclusion&#44; we believe that endobronchial occult metastasis should always be suspected and investigated in symptomatic patients with long past history of extra-thoracic primitive neoplasm&#46; This is also the case with OTC&#44; albeit this is a rare occurrence&#46;</p><span id="sec0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Consent</span><p id="para0004" class="elsevierStylePara elsevierViewall">Written informed consent was obtained from the patient&#46;</p></span><span id="sec0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Funding</span><p id="para0005" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or not-for-profit sectors&#46;</p></span></span>"
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                  \t\t\t\t  " align="" valign="top">Lossos et al&#46;<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="top">Three years later thyroidectomy and radioactive iodine ablation&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="top">Mitani et al&#46;<a class="elsevierStyleCrossRef" href="#bib0004"><span class="elsevierStyleSup">4</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="top">1999 &#47; 2004&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t  " align="" valign="top">2019&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="top">A 77-year-old woman with worsening dyspnea&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2 years later thyroidectomy&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Our&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">20 years later haemithyroidectomy&nbsp;\t\t\t\t\t\t\n
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Letter to the Editor
Late-onset endobronchial metastasis of oncocytic cell thyroid carcinoma
S. Ieloa, A. Campioneb, R. Scalac,
Corresponding author
a Department of Cardiovascular and Respiratory Sciences, Catholic University of the Sacred Heart, Largo Agostino Gemelli, 1, Rome, 00168, Italy
b Pathological Anatomy Laboratory, San Donato Hospital, Usl Toscana Sudest, Oncologic Department, Via Pietro Nenni 20/22, Arezzo, Italy
c Pulmonology and Respiratory Intensive Care Unit, San Donato Hospital, Cardio-toraco-neuro-vascular Department, Usl Toscana Sudest, Via Pietro Nenni 20/22, Arezzo, Italy
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          "en" => "<p id="spara001" class="elsevierStyleSimplePara elsevierViewall">A&#46; Endobronchial mass determining stenosis &#62; 90&#37;&#59; B&#46; Endoscopic image after laser-therapy&#59; C&#46; H&#38;E&#44; 400x Histologic sections on biopsy specimen shows follicular and solid growth of eosinophilic tumor cells&#44; with large and granular cytoplasm&#44; consistent with oncocytic neoplasm &#40;immunostaining not shown&#41;&#59; D&#46; 400x Immunohistochemical staining for Thyroglobulin showing expression in follicular structure of tumor cells&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="para0002" class="elsevierStylePara elsevierViewall">Endobronchial metastasis from extrapulmonary tumors is a rare clinical condition&#44; most often due to systemic spread of breast&#44; kidney&#44; or colorectal cancers&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Thyroid cancer can lead to bone&#44; lung&#44; liver&#44; or brain metastasis but&#44; like other malignancies&#44; rarely involves the tracheo-bronchial tree&#46;<a class="elsevierStyleCrossRef" href="#bib0001"><span class="elsevierStyleSup">1</span></a> Oncocytic thyroid carcinoma &#40;OTC&#41; is a follicular thyroid neoplasm that accounts for 4&#37; of thyroid cancers&#46; It may be extremely aggressive and often tends to spread locoregionally and give rise systemic metastasis&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> Known as H&#252;rthle cell carcinoma&#44; the new WHO 2022 classification of thyroid cancers proposed the current name of oncocytic carcinoma because of its peculiar histological features&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> Oncocytic cells&#44; which can be found in other organs&#44; are in fact cells with different characteristics from the original ones&#44; characterized by eosinophilic cytoplasm due to the presence of numerous mitochondria&#46; These changes may occur with aging&#44; inflammation or generally high levels of oxidative stress as part of a process of metaplasia&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> Essential features of malignancy are vascular and&#47;or capsular invasion&#46;<a class="elsevierStyleCrossRef" href="#bib0003"><span class="elsevierStyleSup">3</span></a> Here&#44; we describe the case of a 73-year-old patient&#44; former smoker of 10 cigarettes per day for 15 years &#40;equal to 7&#46;5 pack-year&#41;&#44; with endobronchial occlusion of the right upper lobe bronchus &#40;RULB&#41;&#44; with a past history of OTC undergone hemithyroidectomy twenty years before&#46; He sought our attention 2 years ago due to the onset of cough in association with persistent dyspnea on exertion for several months&#46; No additional comorbidities were present&#46; Physical examination demonstrated mild reduction of breath sounds in the upper third of right hemithorax&#46; Chest X-ray had raised suspicion of dysventilatory areas of the superior lobe&#46; In consideration of the clinical presentation and medical history&#44; a contrast-enhanced chest computed tomography &#40;CT&#41; was performed&#44; which showed multiple nodules suggestive of metastasis with a particular focus on a solid material&#44; characterized by contrastographic enhancement&#44; located in the RULB and the segmental and subsegmental branches of the anterior bronchus &#40;B3&#44; B3a and B3b&#41;&#46; Additionally&#44; some pericentimetric paratracheal and aortopulmonary window lymph nodes were reported&#46; A flexible bronchoscopy was therefore scheduled with diagnostic and therapeutic purposes&#44; to take biopsy samples and obtain recanalization&#46; The procedure revealed a vegetant mass determining stenosis estimated to be 90&#37; of the RULB extended to the right main bronchus &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>a&#41;&#46; The patient then underwent laser-therapy&#44; biopsies and unblocking with jumbo forceps&#44; during the same diagnostic procedure conducted through flexible bronchoscopy &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>b&#44; after treatment&#41;&#46; All these interventions were performed while the patient was breathing spontaneously under moderate analgosedation&#46; Finally&#44; low-power laser therapy was performed on the distal portion of the metastasis that remained macroscopically visible at the level of the RULB&#46; Laser treatment aimed at controlling symptoms and tumor growth&#46; After just one laser session&#44; the patient referred improved exertional dyspnea&#46; Histopathological examination performed on the biopsy material was positive for oncocytic neoplasm &#40;or H&#252;rthle cell neoplasm&#41; with thyroid-derived immunophenotypic characters &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>c&#41;&#44; therefore consistent with metastatic oncocytic carcinoma&#46; In this case&#44; positivity was reported for the following immunohistochemical stains&#58; cytokeratin-19 &#40;CK-19&#41;&#44; thyroid transcription factor-1 &#40;TTF-1&#41; and Thyroglobulin &#40;<a class="elsevierStyleCrossRef" href="#fig0001">Fig&#46; 1</a>d&#41;&#46; The subsequent treatment was guided by the oncologist&#44; who prescribed tyrosine kinase inhibitor therapy &#40;Lenvatinib&#41; on the basis of the appearance of distant bulky metastases and referred the patient to surgery to perform a radical thyroidectomy&#46; The patient also underwent bronchoscopy follow-up&#44; which showed no new endobronchial lesions to date&#46; Based on this rare event&#44; a literature review was conducted to assess the incidence and time of onset of endobronchial metastases from this type of tumor&#46; To the best of our knowledge&#44; this is the first published case of such late-onset of even rare bronchial tree metastasis from OTC&#46; Only four cases of endobronchial metastasis from oncocytic thyroid cell tumor were identified<a class="elsevierStyleCrossRefs" href="#bib0004"><span class="elsevierStyleSup">4&#8211;7</span></a> &#40;<a class="elsevierStyleCrossRef" href="#tbl0001">Table 1</a>&#41;&#46; In all these cases&#44; including ours&#44; it is plausible to suspect a mechanism for the development of endobronchial metastases as a result of lymphatic spread&#46; Involvement of lymph nodes &#40;especially the hilar lymph nodes&#41; was indeed noted in our patient and in some of the cases reported in the literature&#46;</p><elsevierMultimedia ident="fig0001"></elsevierMultimedia><elsevierMultimedia ident="tbl0001"></elsevierMultimedia><p id="para0003" class="elsevierStylePara elsevierViewall">We believe that our case is peculiar&#44; based both on the very rare occurrence and therefore on the considerable latency period between the diagnosis of the primary neoplasm and the subsequent appearance of the metastases&#46; In fact&#44; it is estimated that 25&#37; of cases of OTC may develop metastatic disease&#44; with a median time of 50 months&#46;<a class="elsevierStyleCrossRef" href="#bib0002"><span class="elsevierStyleSup">2</span></a> In our report&#44; the time from hemithyroidectomy to the first CT finding of metastatic endobronchial lesion was 20 years&#46; Thus&#44; it represents a late onset of disease recurrence that exceeds the average reported in the literature&#46; In conclusion&#44; we believe that endobronchial occult metastasis should always be suspected and investigated in symptomatic patients with long past history of extra-thoracic primitive neoplasm&#46; This is also the case with OTC&#44; albeit this is a rare occurrence&#46;</p><span id="sec0001" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0003">Consent</span><p id="para0004" class="elsevierStylePara elsevierViewall">Written informed consent was obtained from the patient&#46;</p></span><span id="sec0002" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="cesectitle0004">Funding</span><p id="para0005" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or not-for-profit sectors&#46;</p></span></span>"
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><a name="en0001"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Authors&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0002"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Year &#47; Year of publication&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0003"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Clinical findings&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><a name="en0004"></a><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">Onset of metastasis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><a name="en0005"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Lossos et al&#46;<a class="elsevierStyleCrossRef" href="#bib0006"><span class="elsevierStyleSup">6</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0006"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1990&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0007"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">A 55-year-old m&#44; asymptomatic&#44; investigated for a mass in the right upper lobe on routine chest X-ray&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0008"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Three years later thyroidectomy and radioactive iodine ablation&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0009"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Mitani et al&#46;<a class="elsevierStyleCrossRef" href="#bib0004"><span class="elsevierStyleSup">4</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0010"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2003&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0011"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">A 70-year-old woman&#44; asymptomatic&#44; investigated for Abnormal Findings on routine chest X-ray&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0012"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Unknown&#46; Thyroid carcinoma was occult&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0013"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Hanta et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">5</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0014"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">1999 &#47; 2004&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0015"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">A 57-year-old woman with symptoms of cough&#44; sputum&#44; and right-sided pleuritic pain&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0016"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">9 years later thyroidectomy&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><a name="en0017"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">Alvarado et al&#46;<a class="elsevierStyleCrossRef" href="#bib0007"><span class="elsevierStyleSup">7</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0018"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2019&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0019"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">A 77-year-old woman with worsening dyspnea&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0020"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">2 years later thyroidectomy&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="top">Our&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="top">2023&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><a name="en0023"></a><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">73-year-old man with cough and persistent dyspnea on exertion&#46;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="top">20 years later haemithyroidectomy&nbsp;\t\t\t\t\t\t\n
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                        "tituloSerie" => "J Clin Endocrinol Metab"
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Article information
ISSN: 25310437
Original language: English
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