Imai Takayuki, Morishita Yohei, Ito Shigemi, Saijo Satoshi, Asada Yukinori
Head and Neck Surgery, Miyagi Cancer Center, Natori, JPN.
Diagnostic Radiology, Miyagi Cancer Center, Natori, JPN.
Cureus. 2020 Aug 3;12(8):e9541. doi: 10.7759/cureus.9541.
We report a very rare case of an ectopic thyroid in the superior mediastinum, which was detected incidentally using imaging. The case was a 50-year-old woman patient. She had an orthotopic thyroid and normal thyroid function. This superior mediastinum mass obviously lacked continuity with the orthotopic thyroid. Its computed tomography density was lower than that of the orthotopic thyroid, and an enhancement was heterogeneously observed. In the cytodiagnosis, only large and small lymphocytes were observed, and malignant diseases such as malignant lymphoma could not be ruled out, so surgical resection was performed through a cervical incision. Combined resection of the thyroid was unnecessary, and ligation of the feeding vessels from the thorax side was able to be carried out without incident.
我们报告了一例非常罕见的位于上纵隔的异位甲状腺病例,该病例是在影像学检查时偶然发现的。患者为一名50岁女性。她有正常位置的甲状腺且甲状腺功能正常。这个上纵隔肿物明显与正常位置的甲状腺没有连续性。其计算机断层扫描密度低于正常位置的甲状腺,且观察到不均匀强化。在细胞诊断中,仅观察到大小淋巴细胞,不能排除恶性淋巴瘤等恶性疾病,因此通过颈部切口进行了手术切除。无需联合切除甲状腺,并且能够顺利地从胸部一侧结扎供血血管。