Gülmez I, Oğuzkaya F, Bilgin M, Oymak S, Demir R, Ozesmi M
Department of Chest Disease, Medical Faculty, Erciyes University, Kayseri, Turkey.
Monaldi Arch Chest Dis. 1999 Oct;54(5):402-3.
A patient with chronic cough and recent dysphagia was found to have a retrotracheal mass extending into the mediastinum on chest radiography. A computed tomographic scan confirmed a retrotracheal posterosuperior mediastinal lesion which was believed to have a neurogenic origin. A thyroid 131I scan revealed no uptake of tracer in the chest and results of thyroid function tests were normal. A large retrotracheal colloidal nodular goiter was excised through a right thoracotomy. The diagnostic approach and the safety of surgical access by thoracotomy for thyroid lesions in this unusual site are discussed.
一名患有慢性咳嗽且近期出现吞咽困难的患者，胸部X线检查发现气管后有一肿块延伸至纵隔。计算机断层扫描证实为气管后上纵隔病变，考虑为神经源性起源。甲状腺131I扫描显示胸部无示踪剂摄取，甲状腺功能检查结果正常。通过右胸切开术切除了一个巨大的气管后胶样结节性甲状腺肿。本文讨论了针对这一特殊部位甲状腺病变的诊断方法及经胸切开术手术入路的安全性。
