Posterior Mediastinal Hyperfunctioning Insular Thyroid Carcinoma

2005 ◽  
Vol 91 (4) ◽  
pp. 358-360 ◽  
Author(s):  
Rocco Bellantone ◽  
Celestino Pio Lombardi ◽  
Maurizio Bossola ◽  
Guido Fadda ◽  
Massimo Salvatori ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Thyroid Carcinoma ◽  
Mediastinal Mass ◽  
Thyroid Tissue ◽  
Posterior Mediastinum ◽  
Pathological Examination ◽  
Posterior Mediastinal Mass ◽  
Posterior Mediastinal ◽  
Poorly Differentiated ◽  
The Right

A case is presented of a posterior mediastinal mass arising in a 57-year-old woman with severe compressive cervical symptoms and hyperthyroidism. Computed tomography showed intrathoracic thyroid tissue that displaced the trachea towards the front and the right and invaded the posterior mediastinum. Pathological examination showed features of a poorly differentiated (insular) thyroid carcinoma. To the best of our knowledge, this is the first reported case of a posterior mediastinal insular thyroid carcinoma with thyroid hyperfunction.

scholarly journals Giant retrosternal goiter masquerading as, right posterior mediastinal mass: a rare case report

2019 ◽  
Vol 7 (1) ◽  
pp. 306
Author(s):  
Jaykumar N. Punjani ◽  
Kesha K. Shah ◽  
Arun Kumar Haridas
Keyword(s):  
Thyroid Gland ◽  
Mediastinal Mass ◽  
Thyroid Tissue ◽  
Posterior Mediastinum ◽  
Surgical Removal ◽  
Thyroid Function Tests ◽  
Posterior Mediastinal Mass ◽  
Complete Surgical Excision ◽  
Retrosternal Goiter ◽  
Posterior Mediastinal

Complete mediastinal plunging thyroid gland is a rare entity, accounting for 1% of all mediastinal tumours, particularly posterior mediastinal tumour much more rare. We would like to present, a 30-year-old lady presented to ENT department with neck swelling and its further investigation shown to be giant posterior mediastinal mass. Thyroid function tests were normal. CT scans of the neck and chest revealed a large right mediastinal mass compressing the trachea from the right side and extending to the superior part of the posterior mediastinum with enlarged right thyroid gland in the cervical position. Midline extended sternotomy was done for complete surgical excision of the mass along with right hemi thyroidectomy. It was well circumscribed, capsulated, multinodular firm inconsistency, and vascular. Histopathology revealed thyroid tissue negative for malignancy. Giant plunging thyroid in the mediastinum is very rare. It should be differentiated from other mediastinal mass. The plunging goiter in posterior mediastinum is surgically challenging. Transsternal surgical removal is the treatment of choice in such cases.

scholarly journals Echocardiographic Manifestation of Esophagitis Mimicking a Posterior Mediastinal Mass

2014 ◽  
Vol 8s4 ◽  
pp. CMC.S18767
Author(s):  
Supreeya Swarup ◽  
Sowmya Kantamneni ◽  
Sarah Kabir ◽  
Roman Zeltser ◽  
Amgad N. Makaryus
Keyword(s):  
Computed Tomography ◽  
Rare Case ◽  
Patient Management ◽  
Mediastinal Mass ◽  
Posterior Mediastinum ◽  
Cystic Mass ◽  
Alter Patient ◽  
Posterior Mediastinal Mass ◽  
Posterior Mediastinal ◽  
Magnetic Resonance Scanning

Incidental extracardiac findings (ECFs) are commonly noted on cardiac imaging. The majority of the ECFs are noticed on computed tomography (CT), cardiac magnetic resonance scanning, and myocardial perfusion imaging. Although transthoracic echocardiography (TTE) is a widely used cardiac modality, there is scarcity of data describing ECF on TTE. ECFs have the potential to alter patient management. We present a rare case of a cystic mass seen in the posterior mediastinum on TTE, which led to further evaluation and diagnosis of esophagitis with ulceration.

scholarly journals Giant Mediastinal Ganglioneuroma in a Female Child

2020 ◽  
pp. 07-10
Author(s):  
Yasser A El Sayed ◽  
Moh Fathy ◽  
Mohammad Aleem ◽  
Alaa Eisa ◽  
Ashraf Enait ◽  
...  
Keyword(s):  
Female Patient ◽  
Needle Biopsy ◽  
Mediastinal Mass ◽  
Female Child ◽  
Posterior Mediastinum ◽  
Ct Guided ◽  
Posterior Mediastinal Mass ◽  
Posterior Mediastinal ◽  
The Right ◽  
Lateral Thoracotomy

We report an eight year female patient admitted to the department of pediatrics at Abbasia Pulmonary Hospital at Cairo, Egypt. The child was complaining of pain on the right lower chest and upper abdome. On evaluation by CT of the chest, there was a huge posterior mediastinal mass occupying more than three quarters of the right hemithorax. Preoperative histopathology using CT guided needle biopsy revealed ganglioneuroma. The tumor was resected completely via right standard postero-lateral thoracotomy without complications. Postoperative histopathology confirmed the diagnosis of ganglioneuroma. Keywords: Ganglioneuroma; Posterior mediastinum; Pediatrics

scholarly journals Thyroid Carcinoma on the Side of the Absent Lobe in a Patient with Thyroid Hemiagenesis

2017 ◽  
Vol 2017 ◽  
pp. 1-5
Author(s):  
Hiroki Sato ◽  
Kiyoaki Tsukahara ◽  
Ray Motohashi ◽  
Midori Wakiya ◽  
Hiromi Serizawa ◽  
...  
Keyword(s):  
Thyroid Carcinoma ◽  
Papillary Carcinoma ◽  
Thyroid Tissue ◽  
Needle Aspiration ◽  
Left Lobe ◽  
Thyroid Hemiagenesis ◽  
Poorly Differentiated ◽  
Node Metastases ◽  
Right Lobe ◽  
The Right

Background. Thyroid carcinoma complicated by hemiagenesis is very rare, and previous reports have not described this cancer on the side of the absent lobe. Methods and Results. We report the case of a 64-year-old woman in whom left thyroid hemiagenesis was discovered incidentally during investigations of abnormal sensation during swallowing. A tumorous 1.4 cm lesion was also found on the side of the absent lobe, left of the isthmus. Fine-needle aspiration biopsy revealed class V papillary carcinoma, but no lymph node metastases. Total thyroidectomy was performed for stage cT1bN0M0 carcinoma. Histopathology revealed normal thyroid tissues in the right lobe and isthmus, while the left lobe was absent. The mostly papillary carcinoma was adjacent to the truncated thyroid tissue, with a portion histologically consistent with poorly differentiated carcinoma. Conclusions. All previously reported cases of thyroid cancer complicated by hemiagenesis have represented carcinoma occurring within the present lobe. This case is extremely rare.

scholarly journals Occult Papillary Thyroid Carcinoma without Detection of the Primary Tumor on Preoperative Ultrasonography or Postoperative Pathological Examination: A Case Report

2020 ◽  
Vol 13 (1) ◽  
pp. 105-112 ◽  
Author(s):  
Gai Yamashita ◽  
Takahito Kondo ◽  
Akira Okimura ◽  
Munehide Nakatsugawa ◽  
Hiroshi Hirano ◽  
...  
Keyword(s):  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Primary Tumor ◽  
Thyroid Tissue ◽  
Pathological Examination ◽  
Papillary Thyroid ◽  
Superficial Lobe ◽  
Preoperative Ultrasonography ◽  
The Right

Herein, we report a case of an occult thyroid cancer that was not detected as a primary tumor on preoperative ultrasonography or postoperative pathological examination, although a diagnosis of papillary thyroid carcinoma metastasis was made owing to the presence of a mass in the right upper neck. Needle biopsy of the mass in the right upper neck revealed positive results for thyroglobulin and TTF-1 on immunostaining, and a papillary thyroid carcinoma was observed with papillary and follicular patterns. We suspected papillary thyroid carcinoma (T0N1bM0) or ectopic papillary thyroid carcinoma. Accordingly, we performed total thyroidectomy, central lymph node dissection, right lateral neck dissection, and resection of the superficial lobe of the right parotid. A postoperative pathological examination of 5-mm slices of the specimen revealed no primary tumor in the thyroid. However, a hyalinized image of the thyroid indicated that a micropapillary thyroid carcinoma might have spontaneously disappeared. As there was no normal thyroid tissue in the metastasis to the superior internal jugular lymph node, the tumor was unlikely to be an ectopic papillary thyroid carcinoma. Therefore, we made a diagnosis of a papillary thyroid carcinoma (pT0N1bM0). After surgery, we determined that the tumor belonged to a high-risk group of papillary thyroid carcinomas and a poor-prognosis group of symptomatic papillary thyroid microcarcinomas; accordingly, ablation was performed with 30 mCi iodine-131. There was no recurrence or metastasis 24 months after the first surgery.

scholarly journals Giant oesophageal liposarcoma: case report

2008 ◽  
Vol 41 (6) ◽  
pp. 419-421
Author(s):  
Richard Page ◽  
Ranjeet Narlawar ◽  
John Holemans ◽  
John Gosney ◽  
Richard Warwick ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Mediastinal Mass ◽  
Surgical Removal ◽  
Imaging Findings ◽  
Computed Tomography Scan ◽  
Posterior Mediastinal Mass ◽  
Large Size ◽  
Rare Tumours ◽  
Posterior Mediastinal ◽  
Tomography Scan

We describe imaging findings of a oesophageal liposarcoma in a 66 year old man. The computed tomography scan was performed after a chest radiograph showed a large posterior mediastinal mass. Oesophageal liposarcomas are rare tumours. They can achieve large size before they become symptomatic. Our patient was successfully managed with complete surgical removal.

scholarly journals Primary accessory thyroid carcinoma with negative 99mTcO4− SPECT/CTimaging: a case report and literature review

2019 ◽  
Vol 47 (8) ◽  
pp. 3934-3939
Author(s):  
Yibo Ma ◽  
Feng Qian ◽  
Jianfeng Wang ◽  
Yanping Liu ◽  
Shuiqing Liu
Keyword(s):  
Computed Tomography ◽  
Thyroid Carcinoma ◽  
Single Photon ◽  
Thyroid Cartilage ◽  
Photon Emission ◽  
Thyroid Tissue ◽  
Punch Biopsy ◽  
Pathological Examination ◽  
Emission Computed Tomography ◽  
Accessory Thyroid

Introduction In contrast to orthotopic thyroid carcinoma, primary accessory thyroid carcinoma is very rare. We herein report a case involving primary accessory thyroid carcinoma in a patient with normal ultrasonography of the orthotopic thyroid and negative 99mTcO4− single-photon emission computed tomography (SPECT) scintigraphy. Case presentation: A computed tomography (CT) scan showed soft tissue nodules at the left anterior edge of the thyroid cartilage. To determine whether the mass was accessory thyroid tissue, 99mTcO4− SPECT/CT was performed, and the findings were negative. However, pathological examination after resection showed that mass was a primary accessory thyroid papillary carcinoma. The 1-year follow-up ultrasound showed no lesion at the orthotropic thyroid and neck incision sites. Conclusions This case suggests that negative 99mTcO4− SPECT/CT imaging may not completely exclude the possibility of thyroid carcinoma. A punch biopsy or postoperative pathological examination is necessary for the diagnosis.

scholarly journals Extramedullary haematopoiesis: An uncommon posterior mediastinal mass

2013 ◽  
Vol 17 (3) ◽  
pp. 114-115
Author(s):  
Edson Marchiori ◽  
Miriam Menna Barreto ◽  
Bruno Hochhegger ◽  
Gláucia Zanetti
Keyword(s):  
Computed Tomography ◽  
Weight Loss ◽  
Mediastinal Mass ◽  
Severe Anaemia ◽  
Ct Scans ◽  
Extramedullary Haematopoiesis ◽  
Posterior Mediastinal Mass ◽  
History Of ◽  
Posterior Mediastinal ◽  
Ct Features

A 59-year-old man presented with anaemia and complaints of abdominal pain, weight loss, fatigue and dizziness. Computed tomography (CT) scans of the chest revealed bilateral paravertebral masses. The CT features were typical of extramedullary haematopoiesis (EMH). EMH should be strongly considered in a patient with bilateral, well-marginated, paravertebral thoracic masses and a history of chronic, severe anaemia.

scholarly journals Large posterior mediastinal goiter post total cervical thyroidectomy: a case report

2020 ◽  
Vol 7 (8) ◽  
pp. 2722
Author(s):  
Maria Fesatidou ◽  
Vasiliki Fesatidou ◽  
Georgios Tsoulfas ◽  
Ioannis T. Fessatidis
Keyword(s):  
Computed Tomography ◽  
Mediastinal Mass ◽  
Thyroid Tissue ◽  
Ct Guided ◽  
X Ray ◽  
Surgical Safety ◽  
Chest X Ray ◽  
Posterior Mediastinal ◽  
Lateral Thoracotomy ◽  
Mediastinal Goiter

Thoracotomy approach is indicated for a complete and safe posterior mediastinal goitre removal. A 68 years old male was hospitalized due to a right mediastinal mass found in a chest X-ray and confirmed by computed tomography. The patient had undergone total cervical thyroidectomy thirty years ago. A computed tomography (CT) guided percutaneous needle biopsy of the mass revealed thyroid tissue. Subsequently, the mass was completely resected through a right posterolateral thoracotomy. The histopathology confirmed a large mediastinal goitre with no signs of malignancy. The patient had an uncomplicated recovery. We present a relatively rare case of a successful resection of a posterior mediastinal goitre, occurring thirty years post-total cervical thyroidectomy. We advocate lateral thoracotomy to achieve a broad operative field and enhance surgical safety.

MR imaging in a desmoid tumor of the posterior mediastinum with extension into the abdominal cavity

1998 ◽  
Vol 39 (3) ◽  
pp. 301-303
Author(s):  
E. Çiftçi ◽  
I. Erden ◽  
K. Koral ◽  
S. Akyar
Keyword(s):  
Mr Imaging ◽  
Desmoid Tumor ◽  
Mediastinal Mass ◽  
Abdominal Cavity ◽  
Posterior Mediastinum ◽  
Low Back ◽  
Previous Surgery ◽  
Posterior Mediastinal Mass ◽  
History Of ◽  
Posterior Mediastinal

We report on a rare case of desmoid tumor in a 40-year-old man with low back pain and cough. There was no history of previous surgery or trauma. MR imaging revealed a posterior mediastinal mass extending into the abdominal cavity

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