Peng Ed, Oxenham Helen, Foley Mike, Goodwin Andrew
Department of Cardiothoracic Surgery, The James Cook University Hospital, Middlesbrough, UK.
Interact Cardiovasc Thorac Surg. 2013 Nov;17(5):903-5. doi: 10.1093/icvts/ivt281. Epub 2013 Aug 2.
Ectopic thyroid is a rare embryogenic anomaly that occurs during its migration from foramen caecum to its pretracheal position. An intracardiac ectopic location is even rarer and found most commonly in the right ventricular outflow tract in sporadic reports. While surgery in symptomatic patients seems appropriate, resection of non-neoplastic ectopic tissue remains a clinical equipoise. Its occurrence is often unsuspected by clinicians, but its possibility should be considered due to its typical location in the right ventricular outflow tract. Unlike true neoplastic intracardiac tumour which mandates surgical resection, both surgical and non-surgical approach may be considered for an intracardiac ectopic thyroid mass.
异位甲状腺是一种罕见的胚胎发育异常,发生于甲状腺从盲孔迁移至气管前位置的过程中。心脏内异位的情况更为罕见,在散发病例报道中最常见于右心室流出道。虽然对有症状的患者进行手术似乎是合适的,但切除非肿瘤性异位组织在临床上仍存在权衡。临床医生通常未怀疑其发生,但因其典型位于右心室流出道,应考虑其可能性。与需要手术切除的真正心脏内肿瘤不同,对于心脏内异位甲状腺肿块,手术和非手术方法均可考虑。