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Evaluation of mediastinal mass is a clinical challenge. Most commonly encountered pathologies include thymoma, thyroid neoplasm, teratoma, thoracic aortic aneurysms, and lymphoma [1]. Majority of mediastinal masses originating from thyroid are anterior mediastinal goiter representing direct contiguous growth of goiter into the superior mediastinum. However, a large middle mediastinal mass as a result of extension from a cervical papillary thyroid carcinoma is rather unusual. When diagnosed, complete surgical resection should be performed if technically possible followed by iodine therapy, if curative intent is planned [1, 2].
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Marouf, R., Alloubi, I. Papillary thyroid carcinoma plunging in the right middle mediastinum. Indian J Thorac Cardiovasc Surg 35, 513–516 (2019). https://doi.org/10.1007/s12055-019-00802-5
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DOI: https://doi.org/10.1007/s12055-019-00802-5