[Ectopic thyroid tissue: an unusual differential diagnosis of space-occupying mediastinal lesions].
The differential diagnosis of soft tissue masses of the anterior mediastinum includes cervical goiter extending into the mediastinum, germ-cell tumors, masses originating from the thymus, lymphoma and sternal tumors. A rare cause is ectopic mediastinal goiter without a link to the cervical thyroid. We report the case of a 36-year-old female patient with accidental chest X-ray finding of a large mass ([symbol: see text] 7 cm) in the anterior mediastinum. CT showed a hypodense mass with homogeneous enhancement and calcifications. There was no evidence of invasion in other organs. CT-guided biopsy revealed thyroid tissue. The cervical thyroid was normal in CT, ultrasound and 123I-scintigraphy; no link to the mediastinal goiter was detectable. Radionuclide uptake in the latter was homogeneous. Since malignancy could not be ruled out definitively, the mass was removed by thoracotomy and a vascular pedicle originating from the mediastinum was found. Pathologic evaluation confirmed the preoperative diagnosis of ectopic mediastinal goiter.
Bremerich
J
J
Department Medizinische Radiologie, Universitätskliniken, Kantonsspital Basel.
Pippert
H
H
D000328:Adult; D002828:Choristoma / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008477:Mediastinal Diseases / Q000175:diagnosis* / Q000601:surgery; D008479:Mediastinal Neoplasms / Q000175:diagnosis*; D013961:Thyroid Gland
Ektopes Schilddrüsengewebe: eine seltene Differentialdiagnose media-stinaler Raumforderungen.