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Mediastinal papillary thyroid carcinoma treated by video-assisted thoracic surgery - Case report.
Caroço, Teresa Vieira; Saraiva, Raquel Prata; Baião, José Miguel; Nogueira, Tiago; Garcia, Ana Luís; Costa Almeida, Carlos E.
Afiliación
  • 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.
Int J Surg Case Rep ; 106: 108140, 2023 May.
Article en En | MEDLINE | ID: mdl-37043900
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Int J Surg Case Rep Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Int J Surg Case Rep Año: 2023 Tipo del documento: Article Pais de publicación: Países Bajos