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Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature
BACKGROUND: The mediastinal ectopic thyroid is very rare, accounting for less than 1% of all cases of ectopic thyroid tissue. The differential diagnoses with other diseases such as lymphomas, thymic tumors and dermoid cysts is mandatory, in fact each one, needs different management and treatment. CA...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883372/ https://www.ncbi.nlm.nih.gov/pubmed/29618346 http://dx.doi.org/10.1186/s12893-018-0354-y |
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author | Metere, Alessio De Giacomo, Tiziano Vergine, Massimo Biffoni, Marco Giacomelli, Laura |
author_facet | Metere, Alessio De Giacomo, Tiziano Vergine, Massimo Biffoni, Marco Giacomelli, Laura |
author_sort | Metere, Alessio |
collection | PubMed |
description | BACKGROUND: The mediastinal ectopic thyroid is very rare, accounting for less than 1% of all cases of ectopic thyroid tissue. The differential diagnoses with other diseases such as lymphomas, thymic tumors and dermoid cysts is mandatory, in fact each one, needs different management and treatment. CASE PRESENTATION: Here, we discuss a rare case of mediastinal ectopic thyroid presenting with a paratracheal mass laying on the right bronchus without symptoms. A 63-year-old male presented with an abnormal well-defined mass along the right paratracheal side, detected by chest x-ray. The CT scan confirmed the presence of a 6 × 8 cm heterogeneously enhanced mass, located behind the superior vena cava and left brachiocephalic artery, reaching azygos vein and right bronchus, without a mass effect. Taking into account the clinical importance of a mediastinal mass, we removed it surgically, through a double surgical approach consisting in a classical transverse cervicotomy for the left thyroid lobe, followed then by a longitudinal sternal splitting to remove the mediastinal mass and complete the thyroidectomy. CONCLUSIONS: In case of mediastinal masses, the surgical excision is recommended, presenting the double advantage to clarify the diagnosis and to treat the pathology. As demonstrated in this case, a mediastinal ectopic thyroid should be taken into account in the differential diagnosis, considering its clinical importance. |
format | Online Article Text |
id | pubmed-5883372 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-58833722018-04-10 Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature Metere, Alessio De Giacomo, Tiziano Vergine, Massimo Biffoni, Marco Giacomelli, Laura BMC Surg Case Report BACKGROUND: The mediastinal ectopic thyroid is very rare, accounting for less than 1% of all cases of ectopic thyroid tissue. The differential diagnoses with other diseases such as lymphomas, thymic tumors and dermoid cysts is mandatory, in fact each one, needs different management and treatment. CASE PRESENTATION: Here, we discuss a rare case of mediastinal ectopic thyroid presenting with a paratracheal mass laying on the right bronchus without symptoms. A 63-year-old male presented with an abnormal well-defined mass along the right paratracheal side, detected by chest x-ray. The CT scan confirmed the presence of a 6 × 8 cm heterogeneously enhanced mass, located behind the superior vena cava and left brachiocephalic artery, reaching azygos vein and right bronchus, without a mass effect. Taking into account the clinical importance of a mediastinal mass, we removed it surgically, through a double surgical approach consisting in a classical transverse cervicotomy for the left thyroid lobe, followed then by a longitudinal sternal splitting to remove the mediastinal mass and complete the thyroidectomy. CONCLUSIONS: In case of mediastinal masses, the surgical excision is recommended, presenting the double advantage to clarify the diagnosis and to treat the pathology. As demonstrated in this case, a mediastinal ectopic thyroid should be taken into account in the differential diagnosis, considering its clinical importance. BioMed Central 2018-04-04 /pmc/articles/PMC5883372/ /pubmed/29618346 http://dx.doi.org/10.1186/s12893-018-0354-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Metere, Alessio De Giacomo, Tiziano Vergine, Massimo Biffoni, Marco Giacomelli, Laura Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
title | Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
title_full | Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
title_fullStr | Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
title_full_unstemmed | Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
title_short | Diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
title_sort | diagnosis and management of a mediastinal ectopic thyroid laying on the right bronchus: case report and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883372/ https://www.ncbi.nlm.nih.gov/pubmed/29618346 http://dx.doi.org/10.1186/s12893-018-0354-y |
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