Abstract
We treated a case of thyroid cancer manifesting as a mediastinal mass, completely resecting it without difficulty despite a vascular anomaly. An asymptomatic 42-year-old woman was admitted with a mediastinal mass. Ten years earlier, she had undergone surgery for a thyroid tumor diagnosed as follicular adenoma. She also had an aberrent subelavian artery anomaly with a non-recurrent laryngeal nerve, radiographically recognized preoperatively. The mediastinal mass was completely resected through median sternotomy. Pathological examination showed the previous thyroid tumor had been follicular carcinoma, and that the mass was a mediastinal-node metastasis from the thyroid cancer. Preoperative recognition of the vascular anomaly was helpful in completing resection, in addition to safe, quick surgical procedures.
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Nagayama I, Okabe Y, Katoh H, Furukawa M. Importance of pre-operative recognition of the nonrecurrent laryngeal nerve. J Laryngol 1994; 108: 417–9.
Brown DL, Chapman WC, Edwards WH, Coltharp WH, Stoney WS. Dysphagia lusoria: aberrant right subelavian artery with a Kommerell’s diverticulum. Am Surg 1993; 59: 582–6.
Hunauld NA. Examen de quelques parties d’un signe. Hist Acad R Sci 1735; 2: 516–23.
Miller JM, Miller KS. A note on the historical aspects of dysphagia lusoria. Am Surg 1992; 58: 502–3.
Minni F, DiSesa VJ, Masetti P, Marrano D. Management of a large mediastinal cyst of thyroid origin. Chest 1990; 98: 487–8.
Gross RE. Surgical treatment for dysphagia lusoria. Ann Surg 1946; 124: 532–4.
Madjar S, Weissberg D. Retrosternal goiter. Chest 1995; 108: 78–82.
Fadel E, Chapelier A, Lancelin C, Macchiarini P, Dartevelle Ph. Les goitres endothoraciques. Presse Med 1996; 25: 787–92.
Cougard P, Matet P, Goudet P, Bambili R, Viard H, Vaillant G, et al. Les goitres plogeants. Ann Endocrinol (Paris) 1992; 53: 230–5.
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Chen, F., Tatsumi, A. Metastatic thyroid cancer manifesting as a mediastinal mass in a man with an aberrant right subclavian artery. Jpn J Thorac Caridovasc Surg 49, 470–472 (2001). https://doi.org/10.1007/BF02913916
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DOI: https://doi.org/10.1007/BF02913916