Tiroid karsinomu ile birliktelik gösteren mediastinal guatr olgusu
Küçük Resim Yok
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Gerçek primer mediastinal ektopik guatr nadirdir ve tüm guatrların %1’inden azında izlenir. Ektopik guatr sıklıkla lingual lokalizasyonludur. Ektopik guatr tiroid glandı ile bağlantılı değildir. Mediastende yerleşenler genellikle sağda ve anterior mediastende yerleşir. Torakotomi ya da sternotomi ile yaklaşım gerektirir. Yetmiş iki yaşında kadın hasta 3 ay önce papiller tiroid karsinomu nedeniyle tiroidektomi operasyonu geçirmiş. Hastaya radyoaktif iyot tedavisi başlanmış ve yapılan sintigrafide anterior mediastende nonhomojen patolojik aktivite birikimi izlenmiş. Anterior mediastinal kitle ön tanısıyla median sternotomi yapılarak multilobule, düzgün sınırlı, kapsüllü çevre dokulara invazyon göstermeyen kitle izlendi ve eksize edildi. Patoloji sonucu multinodüler guatr olarak rapor edildi. Gerçek primer mediastinal ektopik guatr nadirdir ve medastinal tümörlerin %1’inden azını oluşturur. Sonuç olarak primer intratorasik guatr, mediastinal tümörlerin ayırıcı tanısında akılda tutulmalı dır. Ektopik intratorasik guatrlar bası semptomlarının giderilmesi ve malignite riski nedeniyle cerrahi olarak tedavi edilmelidir. (Haseki Tıp Bülteni 2010; 48: 163-5)
True primary ectopic mediastinal goiter is rare and observed in less than 1% of all goiter cases. Ectopic goiter is frequently localized lingually and does not exhibit connection with the thyroid gland. Mediastinal lesions are usually located on the right side, in the anterior mediastinum, and the surgical approach in such cases is thoracotomy or sternotomy. Herein, we present a 72-year-old female patient who had undergone thyroidectomy due to thyroid papillary carcinoma 3 months before. Radioactive iodine treatment was started and scintigraphy showed nonhomogeneous pathologic activity in the anterior mediastinum. After a presumed diagnosis of anterior mediastinal mass, performing median sternotomy, multilobulated, clearly delineated, capsulated tumor without invasion into the peripheral tissues, was observed and excised. The pathology report revealed multinodular goiter. In conclusion, true primary ectopic mediastinal goiter should be considered in the differential diagnosis of mediastinal tumors, although it comprises less than 1% of them. Ectopic intrathoracic goiter should be removed surgically due to risk of malignancy and to treat compression symptoms. (The Medical Bulletin of Haseki 2010; 48: 163-5)
True primary ectopic mediastinal goiter is rare and observed in less than 1% of all goiter cases. Ectopic goiter is frequently localized lingually and does not exhibit connection with the thyroid gland. Mediastinal lesions are usually located on the right side, in the anterior mediastinum, and the surgical approach in such cases is thoracotomy or sternotomy. Herein, we present a 72-year-old female patient who had undergone thyroidectomy due to thyroid papillary carcinoma 3 months before. Radioactive iodine treatment was started and scintigraphy showed nonhomogeneous pathologic activity in the anterior mediastinum. After a presumed diagnosis of anterior mediastinal mass, performing median sternotomy, multilobulated, clearly delineated, capsulated tumor without invasion into the peripheral tissues, was observed and excised. The pathology report revealed multinodular goiter. In conclusion, true primary ectopic mediastinal goiter should be considered in the differential diagnosis of mediastinal tumors, although it comprises less than 1% of them. Ectopic intrathoracic goiter should be removed surgically due to risk of malignancy and to treat compression symptoms. (The Medical Bulletin of Haseki 2010; 48: 163-5)
Açıklama
Anahtar Kelimeler
Ectopic Goiter, Anterior Mediastinal Mass, Multinodular Goiter, Ektopik Guatr, Anterior Mediastinal Kitle, Multinodüler Guatr
Kaynak
Haseki Tıp Bülteni
WoS Q Değeri
Scopus Q Değeri
Cilt
48
Sayı
4
