一名患有克罗恩病的患者出现重症肌无力，原发性异位纵隔甲状腺肿。

Primary Ectopic Mediastinal Goiter in a Patient With Crohn's Disease Presenting as Myasthenia Gravis.

作者信息

Kumar Sunil, Sultania Mahesh, Vatsal Shivam, Sharma M C

机构信息

Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Ann Thorac Surg. 2015 Dec;100(6):2333-6. doi: 10.1016/j.athoracsur.2015.02.116.

DOI:10.1016/j.athoracsur.2015.02.116

PMID:26652525

Abstract

Mediastinum is an uncommon location for ectopic goiter. Primary ectopic mediastinal goiter has been reported to present mostly with compressive symptoms. We report a case of a 62-year-old man with history of Crohn's disease, who presented with symptoms of myasthenia gravis and was found to have an anterior mediastinal mass. The mass was resected completely with successful outcome. On histopathologic examination this mass turned out to be colloid goiter. This is an extremely rare presentation of a primary ectopic mediastinal goiter.

摘要

纵隔是异位甲状腺肿的罕见部位。据报道，原发性纵隔异位甲状腺肿大多表现为压迫症状。我们报告一例62岁男性，有克罗恩病病史，出现重症肌无力症状，发现前纵隔有一肿块。该肿块被完整切除，结果良好。组织病理学检查显示该肿块为胶样甲状腺肿。这是原发性纵隔异位甲状腺肿极为罕见的表现。