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.

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 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.

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

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 Ectopic Hepatic Tissue Presented as a Posterior Mediastinal Mass

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Eugene Rozen ◽  
Gary Stephens ◽  
Armand Asarian ◽  
Philip Xiao
Keyword(s):  
Young Patient ◽  
Mediastinal Mass ◽  
Posterior Mediastinum ◽  
Hepatic Tissue ◽  
Posterior Mediastinal Mass ◽  
Posterior Mediastinal ◽  
Ectopic Liver ◽  
Respiratory Complaints

We present a young patient with respiratory complaints that was found to have a mass in her right posterior mediastinum. The mass was diagnosed to be ectopic histologically unremarkable hepatic tissue. We have also reviewed several of the few intrathoracic ectopic liver cases in the literature, along with a brief discussion of the significance of such a finding.

scholarly journals Adenomatous, Unilateral, Retrosternal Extension of the Thyroid Gland presenting as a Mediastinal Mass

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A918-A919
Author(s):  
Aisling Glass ◽  
Margaret Elizabeth Griffin ◽  
Carla M Moran
Keyword(s):  
Thyroid Gland ◽  
Mediastinal Mass ◽  
Thyroid Tissue ◽  
Chronic Obstructive ◽  
Thyroid Function Tests ◽  
Posterior Aspect ◽  
Obstructive Pulmonary Disease ◽  
Pulmonary Angiogram ◽  
Thymus Tissue ◽  
The Right

Abstract Background: Thyroid-related causes of mediastinal masses include retrosternal goiters and thymic enlargement associated with Graves’ disease. Here, we present a case of significant unilateral retrosternal growth of the thyroid gland, presenting as an incidental mediastinal mass, without any evidence of contralateral disease. Associated subclinical hyperthyroidism presents a therapeutic challenge. Clinical Case: A 68-year old gentleman presented to the emergency department with a non-infective exacerbation of known Chronic Obstructive Pulmonary Disease. CT Pulmonary Angiogram revealed a right sided 5.6cm paratracheal mass, which seemed to originate from the posterior aspect of the right lobe of the thyroid and extended to the subcarinal region. The mass displaced the oesophagus and was close to, but did not compress, the trachea. The left thyroid lobe was normal. Thyroid ultrasound was reported as normal, but was later acknowledged to be suboptimal at visualization of the posterior aspect of the gland. Thyroid scintigraphy confirmed increased radionuclide uptake within the mass. Thyroid function tests showed subclinical thyrotoxicosis [TSH 0.04 (0.4-4.0mIU/mL), FT4 17.4 (10-22pmol/L) and FT3 3.36 (2.89-4.88 pmol/L)]. TSH receptor antibody was negative [< 1.1 (<1.75 IU/L)]. On review of prior imaging from other hospitals, the mass had been present since 1999 and was stable in size for at least the past 7 years. The patient was discharged on carbimazole with a plan to perform interval scanning to monitor size. Discussion: Although technetium uptake can be seen in thymus tissue, the identification on imaging that the mass is contiguous with the thyroid gland leads us to believe this is an adenomatous extension of the thyroid gland. Ectopic thyroid tissue is possible, but the size of the mass suggests some prior period of growth. Thyroid carcinoma seems unlikely given the current stability in size, and there are no compressive symptoms, so there is no clear indication for surgery at present. However, given the subnormal TSH level, there is evidence of autonomy, so treatment is indicated. Radio-iodine treatment may be associated with thyroiditis, with attendant swelling of the gland and risk of compression of vital structures, so treatment with ATDs and regular imaging surveillance was deemed most appropriate in his case.

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 Ectopic thyroid tissue presenting as an external auditory canal mass

2019 ◽  
Vol 5 (2) ◽  
pp. 476
Author(s):  
Nishikanta Verma ◽  
Samuel Devanesan Abishegam ◽  
Abdul Razak Bin Haji Ahmad
Keyword(s):  
Thyroid Gland ◽  
Thyroid Tissue ◽  
The Body ◽  
Ectopic Thyroid ◽  
Thyroid Function Tests ◽  
External Ear ◽  
Ear Canal ◽  
Developmental Defects ◽  
External Ear Canal ◽  
Ectopic Thyroid Tissue

<p class="abstract">An ectopic thyroid is a rare occurrence with a majority of ectopic thyroid tissue located in the lingual region or in the midline. The abnormal sites represent developmental defects in migration from the floor of the primitive foregut at the foramen caecum of the tongue to the final pre-tracheal position of the gland. A few cases of ectopic thyroid tissue have also been reported from sites seemingly unrelated to the normal development of the thyroid gland.  We report a case of ectopic thyroid in the external ear canal, which presented as a small reddish mass in the external ear canal. To the best of our knowledge, this is the first such reported case in literature and adds to the body of knowledge in such cases. Although such a finding is exceedingly rare, the authors recommend routine histopathology in all cases of polyps in the external canal and standard investigation for the status of the residual thyroid gland via isotope scans, ultrasonography or thyroid function tests.</p>

Resolution of hyperthyroidism and thyroid antibodies following struma ovarii resection: an uncommon entity

2021 ◽  
Vol 14 (4) ◽  
pp. e240924
Author(s):  
Preethi Padmanaban ◽  
Eric Nylen ◽  
Kenneth Burman ◽  
Sabyasachi Sen
Keyword(s):  
Ovarian Cyst ◽  
Thyroid Tissue ◽  
Lower Abdominal Pain ◽  
Ovarian Tumour ◽  
Thyroid Stimulating Hormone ◽  
Thyroid Peroxidase ◽  
Surgical Removal ◽  
Thyroid Function Tests ◽  
Struma Ovarii ◽  
Free T4

We report a case of 34-year-old clinically asymptomatic woman who had been followed for 6 years for hyperthyroidism with thyroid stimulating hormone <0.006 uIU/mL, free T4 1.98 ng/mL, free T3 5.3 pg/mL, elevated thyroid stimulating immunoglobulin 1.70 IU/L, thyroid peroxidase antibody 38 IU/mL and thyroglobulin antibody 9.3 IU/mL. Radioiodine thyroid scan showed minimal uptake in both thyroid lobes (24-hour uptake was 0.3%). She subsequently underwent evaluation for lower abdominal pain and menstrual irregularities, which revealed a large left ovarian cyst measuring 15.9 cm × 10.8 cm × 13.2 cm and right-sided ovarian cyst measuring 2.7 cm × 3.3 cm × 3.5 cm. Laparoscopic bilateral ovarian cystectomy was performed and the final pathology revealed struma ovarii of the left ovarian cyst with the entire ovarian tumour made up of benign thyroid tissue. Thyroid function tests performed 3 months after surgical removal of struma ovarii showed euthyroidism. We present a rare case with detailed laboratory and immunological data before and after ovarian extirpation with resolution of hyperthyroidism associated with functional struma ovarii.

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