Korean J Thorac Cardiovasc Surg.
2010 Feb;43(1):113-116.
Occult Papillary Thyroid Carcinoma Presenting as a Huge Mediastinal Cystic Metastasis
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hospital, Korea.
- 2Department of Thoracic and Cardiovascular Surgery, Chonnam National University Hwasun Hospital, Korea. hanse72@medigate.net
- 3Department of Surgery, Chonnam National University Hwasun Hospital, Korea.
Abstract
- The initial presentation of distant metastases in patients with papillary thyroid carcinoma is quite rare. Most distant metastases are solid nodular lesions. A 67-year-old man who complained of severe dyspnea underwent surgery due to a large mediastinal cystic mass compressing the trachea and great vessels. Pathologically, the cystic mass was a metastatic thyroid papillary carcinoma. The thyroid evaluations were compatible with a well differentiated thyroid carcinoma. An occult thyroid carcinoma presenting as a large mediastinal cystic lesion is extremely rare.
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