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巨大原发性后纵隔异位甲状腺肿导致的声音嘶哑、呼吸窘迫和吞咽困难:一种罕见的临床病症。

Hoarseness of voice, respiratory distress and dysphagia due to giant primary posterior mediastinal ectopic goitre: a rare clinical entity.

作者信息

Chaudhry Ikram Ulhaq, Cheema Ahsan Iqbal, AlShamasi Zahra, Mutairi Hadi

机构信息

Department of Chest Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

出版信息

BMJ Case Rep. 2016 Apr 25;2016:bcr2016215132. doi: 10.1136/bcr-2016-215132.

Abstract

Primary posterior mediastinal ectopic goitre is an extremely rare entity; we report a case of a 28-year-old man who presented with dysphagia, respiratory distress and hoarseness of voice, gradually worsening over a period of 3 months. CT scan of the thorax revealed a giant posterior mediastinal ectopic goitre. The mass was removed through a right posterolateral thoracotomy. The patient's symptoms, respiratory distress and dysphagia disappeared immediately after surgery while his voice gradually returned to normal after 6 weeks.

摘要

原发性后纵隔异位甲状腺肿是一种极其罕见的病症;我们报告一例28岁男性患者,其出现吞咽困难、呼吸窘迫和声音嘶哑症状,在3个月内逐渐加重。胸部CT扫描显示巨大的后纵隔异位甲状腺肿。通过右后外侧开胸手术切除了肿块。患者的症状,呼吸窘迫和吞咽困难在手术后立即消失,而其声音在6周后逐渐恢复正常。

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