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Mediastinal involvement of thyroid cancer with mediastinal lymph node metastasis; report of a case

Okagawa, T.; Hiramatsu, Y.

Kyobu Geka. Japanese Journal of Thoracic Surgery 66(7): 602-605

2013

ISSN/ISBN: 0021-5252
PMID: 23917143
Document Number: 668138
We report a surgical case of mediastinal involvement of papillary adenocacinoma of thyroid with mediastinal lymph node metastasis. A 58-year-old male was admitted to our hospital with laryngeal discomfort. The laryngeal fiber scopy showed left recurrent nerve palsy, although he hadn't noticed hoarseness before admission. An enhanced computed tomography(CT)scan revealed a heterogeneous 3×3 cm mass in the upper mediastinum. The 18F-fluorodeoxyglucose-positron emission tomography( FDG-PET)showed an accumulation of FDG in the mass and also in a mediastinal lymph node. The incisional biopsy on mediastinoscopy revealed a papillary adenocarcinoma of thyroid and a total thyroidectomy with resection of mediastinal lymph node through cervical and reverse-T upper mini-sternotomy approach was performed.

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