تقرير
أعرض في EDS

Mediastinal papillary thyroid carcinoma treated by video-assisted thoracic surgery - Case report.

التفاصيل البيبلوغرافية
العنوان: Mediastinal papillary thyroid carcinoma treated by video-assisted thoracic surgery - Case report.
المؤلفون: Caroço TV; General Surgery Department, Portuguese Oncology Institute of Coimbra, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal. Electronic address: tvieiracaroco@gmail.com., Saraiva RP; General Surgery Department, Portuguese Oncology Institute of Coimbra, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal., Baião JM; General Surgery Department, Centro Hospitalar do Baixo Vouga, Av. Artur Ravara, 3814-501 Aveiro, Portugal., Nogueira T; Thoracic Surgery Department, Portuguese Oncology Institute of Coimbra, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal., Garcia AL; Thoracic Surgery Department, Portuguese Oncology Institute of Coimbra, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal., Costa Almeida CE; Head and Neck Surgery Department, Portuguese Oncology Institute of Coimbra, Av. Bissaya Barreto 98, 3000-075 Coimbra, Portugal.
المصدر: International journal of surgery case reports [Int J Surg Case Rep] 2023 May; Vol. 106, pp. 108140. Date of Electronic Publication: 2023 Apr 07.
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Elsevier B.V Country of Publication: Netherlands NLM ID: 101529872 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2210-2612 (Print) Linking ISSN: 22102612 NLM ISO Abbreviation: Int J Surg Case Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam] : Elsevier B.V.
مستخلص: Introduction and Importance: The mediastinal ectopic thyroid gland is rare and usually asymptomatic. Ectopic thyroid tissue has malignant potential, but ectopic thyroid cancers are extremely rare, particularly mediastinal thyroid cancer, with only five cases reported in the literature.
Case Presentation: A 73 years-old male patient diagnosed with multinodular goitre with two FLUS cytology was summited to an uneventful total thyroidectomy. Pathology revealed 8 synchronous papillary carcinomas in both thyroid lobes. Follow-up identified persistent elevation of thyroglobulin. A cervical ultrasound and cervical and thoracic CT scan were performed, identifying a mediastinal tumour of 6 × 3 cm. Resection was performed by video-assisted thoracic surgery (VATS). Pathology identified an ectopic mediastinal thyroid with a 4 mm papillary microcarcinoma. Recovery was uneventful and the patient is currently asymptomatic.
Clinical Discussion: There is no consensus on the best treatment strategy for mediastinal ectopic thyroid, but surgical resection is advised as being the only method allowing for a complete cure. Although both thoracotomy and sternotomy approaches have been usually used for mediastinal thyroid tumours resection, the thoracoscopic approach has been used with good results in recent years. Thoracoscopy has better visualization, less morbimortality, and faster recovery. Giant masses (>10 cm) are the only limitation for VATS.
Conclusion: Ectopic mediastinal thyroid is extremely rare, and its malignant transformation is even rarer. There is no consensus on the best treatment strategy, but surgical resection of the mediastinal thyroid is advised. VATS is a safe and feasible minimally invasive technique with good outcomes.
Competing Interests: Conflicts of interest The authors declare no conflicts of interest.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
فهرسة مساهمة: Keywords: Ectopic thyroid; Mediastinal thyroid; Papillary carcinoma; VATS
تواريخ الأحداث: Date Created: 20230412 Latest Revision: 20230516
رمز التحديث: 20230516
مُعرف محوري في PubMed: PMC10139988
DOI: 10.1016/j.ijscr.2023.108140
PMID: 37043900
قاعدة البيانات: MEDLINE
الوصف
تدمد:2210-2612
DOI:10.1016/j.ijscr.2023.108140