Yamamoto M, Ishizaki M, Kouri Y, Ono K, Hamaguchi K, Mizuno H, Meguro F
Department of Surgery, Kobe West Municipal Hospital.
Kyobu Geka. 1992 Mar;45(3):262-6.
A 65-year-old man was admitted with the chief complaints of hoarseness and an abnormal mass shown by chest x-ray films. CT scan, MRI, thyroid scintigram, and angiogram showed a right upper mediastinal tumor. This was histologically diagnosed as malignant mediastinal goiter by percutaneous needle biopsy. Operation was performed using a collar incision and median sternotomy. The tumor was located in right upper mediastinum and had no relation to the cervical thyroid gland. It was 7 x 5 x 3.5 cm in size. Histological examination revealed papillary adenocarcinoma of the thyroid gland. To our knowledge, 17 cases of complete mediastinal malignant goiter have been reported in Japan, including our case. These 17 patients are reviewed with regard to their clinical features in this article.
一名65岁男性因声音嘶哑及胸部X光片显示异常肿块为主诉入院。CT扫描、MRI、甲状腺闪烁扫描及血管造影显示右上纵隔肿瘤。经皮针吸活检组织学诊断为恶性纵隔甲状腺肿。采用颈部切口和正中胸骨切开术进行手术。肿瘤位于右上纵隔，与颈部甲状腺无关。大小为7×5×3.5厘米。组织学检查显示为甲状腺乳头状腺癌。据我们所知，日本已报道包括我们的病例在内的17例完全性纵隔恶性甲状腺肿病例。本文对这17例患者的临床特征进行了回顾。
