Oikonomou Anastasia, Astrinakis Emanuelle, Giatromanolaki Alexandra, Karros Panagiotis, Margaritis Dimitrios, Prassopoulos Panos
Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100, Alexandroupolis, Greece,
Gen Thorac Cardiovasc Surg. 2014 Mar;62(3):198-201. doi: 10.1007/s11748-013-0227-3. Epub 2013 Feb 28.
A 42-year-old woman undertook a chest radiograph for a routine evaluation prior to surgery for pelvic endometrioma, which revealed a right paratracheal mass slightly displacing the trachea to the left. CT of the thorax disclosed a well demarcated, heterogeneous, lobular, right paratracheal mass, bearing punctate, coarse, and curvilinear calcifications. MRI further revealed two components within the lesion: a larger, cystic, exhibiting thin septations, and a solid component at the lower part exhibiting strong enhancement. No continuity of the mass with the thyroid gland was demonstrated, which had normal size and no focal lesion. Histological examination of the resected mass disclosed lymph node tissue infiltrated by papillary thyroid carcinoma; subsequent total thyroidectomy revealed small foci of papillary carcinoma within both lobes of the thyroid gland. Ablative dose I-131 was administered and the patient was put on daily thyroid supplements.
一名42岁女性在接受盆腔子宫内膜瘤手术前进行常规胸部X光检查，结果显示右气管旁有一肿块，将气管轻度向左推移。胸部CT显示右气管旁有一个边界清晰、不均匀、分叶状的肿块，伴有点状、粗大及曲线状钙化。MRI进一步显示病灶内有两个成分：一个较大的囊性成分，有薄分隔，以及下部的实性成分，呈明显强化。未发现肿块与甲状腺有连续性，甲状腺大小正常，无局灶性病变。切除肿块的组织学检查显示为甲状腺乳头状癌浸润的淋巴结组织；随后的甲状腺全切术显示甲状腺两叶内有微小乳头状癌灶。给予消融剂量的I-131，并让患者每日补充甲状腺素。
