Waldron D, Coffey J, Murphy S, Bresnihan E, Finnegan P, Lynch V
Department of Thoracic Surgery, St. Vincent's Hospital, Dublin, Ireland.
Ann Thorac Surg. 1990 Jul;50(1):133-5. doi: 10.1016/0003-4975(90)90106-g.
A patient with chronic cough and recent dysphagia was found to have a retrotracheal mass extending into the visceral mediastinum on chest roentgenogram. A computed tomographic scan confirmed a retrotracheal lesion, which was believed to be of lymphatic origin. A thyroid scan demonstrated downward displacement of the left lobe but little uptake in the mass. Histological findings of mediastinal biopsies were inconclusive. A large retrotracheal thyroid adenoma was easily excised through a right thoracotomy. The approach to diagnosis and, in cases of doubt, the safety of surgical access through thoracotomy for thyroid lesions in this unusual site is discussed.
一名患有慢性咳嗽和近期吞咽困难的患者，胸部X线检查发现气管后肿块延伸至纵隔。计算机断层扫描证实气管后有病变，认为是淋巴源性的。甲状腺扫描显示左叶向下移位，但肿块摄取很少。纵隔活检的组织学结果不明确。通过右胸切开术轻松切除了一个巨大的气管后甲状腺腺瘤。本文讨论了诊断方法，以及在存在疑问的情况下，针对这个不寻常部位的甲状腺病变通过胸切开术进行手术的安全性。
