CASE 538: SUBMERGED MEDIASTINUM GOITER TUMOR, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 59 yo, for 10 years, underwent an operation of removing tumor at left lobe of thyroid.

Now she suffers from cough and  change of the speaking voice.

Chest X-Rays shows one mass at upper part of retrosternum.

Ultrasound  of the neck: 

US 1: crossed section of the right big thyroid lobe with tumor.

U S 2 : this tumor is prolonged from retrosternum. to mediastinum.

US 3: CDI with  hypovascular tumor.

US 4: longitudinal tumor scan.

Blood tests: normal thyroid function.

MSCT with CE:

CT 1, CT 2, CT 3                                                                                                                                                            Section  at level of neck  upper sternum  and middle  sternum   this tumor  from right lobe thyroid  calcification.

CT 4 : sagittal,  C T 5 : frontal section.

Isotopic Tech 99m  scan  made  diagnostic is thyroid tumor with cold nodule come from r ight lobe of thyroid gland.

Operation by the way sternotomy  removed this tumor well bordered,  central solid and cystic parts very highly calcified.

Conclusion:  Goiter tumor  submerged in mediastinum.

MICROSCOPIC REPORT IS  NODULAR GOITER.