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CASE REPORT   

Chirurgia 2019 October;32(5):263-6

DOI: 10.23736/S0394-9508.18.04889-1

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Primary ectopic mediastinal goiter

Ryo MAEDA 1 , Masaki TOMITA 1, Nobuyuki OGURI 2, Takanori AYABE 1, Kunihide NAKAMURA 3

1 Department of Thoracic and Breast Surgery, University of Miyazaki, Miyazaki, Japan; 2 Department of Pathology, University of Miyazaki, Miyazaki, Japan; 3 Department of Cardiovascular Surgery, University of Miyazaki, Miyazaki, Japan



We herein report a rare case of primary ectopic mediastinal goiter in a 45-year-old woman. A chest roentgenogram at a regular checkup revealed an abnormal shadow in the mediastinal right upper lung field. Chest computed tomography showed a hypervascular mass in the anterior mediastinum with compression of the left brachiocephalic vein, which extended to the right middle mediastinum. An operation was performed to obtain a definitive diagnosis and achieve complete resection. The tumor with tight adhesion to the great vessels was successfully resected by L-shaped mini-sternotomy combined with right-sided video-assisted thoracic surgery (VATS). The postoperative diagnosis was primary ectopic mediastinal goiter. Right-sided VATS and an L-shaped mini-sternotomy approach allowed tumor resection with sufficient surgical exposure and a good cosmetic outcome. We discuss the surgical approach for resection of this rare anterior mediastinal tumor extending to the middle mediastinum.


KEY WORDS: Lingual goiter; Mediastinal neoplasms; Video-assisted thoracic surgery

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