Successful resection of posterior mediastinal thyroid cancer by partial sternotomy combined with video-assisted thoracoscopy.
We report on a rare case of substernal thyroid carcinoma extending into the posterior mediastinum of a 48-year-old man. The tumor was resected by partial sternotomy and a small anterior thoracotomy, combined with video-assisted thoracoscopy. The pathological diagnosis was of a well differentiated papillary adenocarcinoma of the thyroid with mediastinal extension. The patient had an uneventful postoperative course and no recurrence of tumor 6 months after surgical treatment. We describe this surgical approach and discuss the advantage for cervicothoracic tumors extending into the posterior mediastinum.
Isowa
Noritaka
N
Division of Thoracic Surgery, Matsue Red Cross Hospital, Matsue, Shimane, Japan.
Kikuchi
Ryutaro
R
Kunimoto
Yasuomi
Y
Ito
Kazuyuki
K
Tokuyasu
Hirokazu
H
Fukuda
Katsuhiko
K
Kawasaki
Yuji
Y
D000231:Adenocarcinoma, Papillary / Q000556:secondary / Q000601:surgery*; D006801:Humans; D008297:Male; D008479:Mediastinal Neoplasms / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D009367:Neoplasm Staging; D013249:Sternum / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted; D013908:Thoracotomy / Q000379:methods*; D013964:Thyroid Neoplasms / Q000473:pathology / Q000601:surgery*