Riaz Bushra, Anwar Shayan S
Radiology, Dow University of Health Sciences, Karachi, PAK.
Radiology, Aga Khan University Hospital, Karachi, PAK.
Cureus. 2022 Jun 23;14(6):e26241. doi: 10.7759/cureus.26241. eCollection 2022 Jun.
Posterior mediastinal goiter is not a common cause of dysphagia, and symptoms can simulate esophageal malignancy. This case report highlights two critical clinical aspects. First, the patient's symptoms of gradually worsening dysphagia to solids and liquids, odynophagia, and hoarseness of voice secondary to retrosternal thyroid nodule extension can simulate esophageal malignancy. Second, a barium swallow study can effectively rule out esophageal pathology even though more advanced studies, like High-resolution computed tomography (HRCT), are inconclusive. We present a unique case of isolated posterior mediastinal exophytic thyroid nodule simulating the symptoms of esophageal pathology.
后纵隔甲状腺肿并非吞咽困难的常见病因，其症状可类似食管恶性肿瘤。本病例报告突出了两个关键临床要点。其一，患者因胸骨后甲状腺结节延伸导致吞咽固体和液体逐渐加重、吞咽痛及声音嘶哑等症状，可类似食管恶性肿瘤。其二，尽管更先进的检查如高分辨率计算机断层扫描（HRCT）结果不明确，但吞钡造影检查可有效排除食管病变。我们报告一例罕见的孤立性后纵隔外生性甲状腺结节模拟食管病变症状的病例。
