Saturday, 1 August 2015

CASE 327: INTRATHORACIC THYROID TUMOR, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Woman 37 yo with history of  sore throat and  changed  speaking.
Chest X-Ray detected  one  mass at upper pole of right lung (chest x-ray film).


Transthoracic ultrasound  of this mass revealed  a solid  hypovascular mass, size of 10 cm, no moving  with  respiration. Thyroid  ultrasound  scan  was normal  but the right lobe was  smaller  than left one.




MSCT  angio in  cervico-thoracic region showed mass in connecting with right  thyroid lobe.
Main vascular supplying for this mass was from branch of  inferior thyroid artery  (see CTA).



Operation for  removing of  one round mass connected with  right lobe of thyroid, its
structure was inhomogeneous  and pathology report was  colloidal  thyroid goiter.



Conclusion: this case  was  an intrathoracic goiter while on chest X-Ray film  looked like  lung tumor.
Reference:
Case from Mayo Clinics 



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