Intrathoracic thyroid tumor

Pathology Disease (1) embryonic period in the mediastinum Remains thyroid tissue, as after intrathoracic thyroid tumor; (2) of the original thyroid tumors neck, sternum after falling into the next space, the general was mostly in the anterior mediastinum, was also evident, After the mediastinum. Clinical manifestations of intrathoracic thyroid tumor symptoms are : (1) tracheal compression symptoms, such as irritating cough, dyspnea, This phenomenon in patients in the supine position clear expression; (2) Expansion of intrathoracic nausea flu or thoracic back pain; (3) there were a few cases of hyperthyroidism symptoms. Diagnosis diagnosis is based primarily on : ① Some patients had had neck tumor appeared history; ② As mass exist, where tracheal displacement; ③ visible under fluoroscopy with swallowing mass movements up and down; (According to the statistics of such tumors is to be reduced to 40% malignant). ④ application of radioactive iodine scan checks with mediastinal help identify intrathoracic thyroid cancer diagnosis. X-ray photographs of inspection, we can see a park on the mediastinal shape or showed lobulated dense shadow of the side to the chest or both prominent. Treatment generally used surgical excision, such as tumor location, relying on little volume and mass, cervical incision extraction, If mass drop into the chest, chest feasible anterolateral incision extraction, If mass is larger location deeper after lateral thoracotomy incision or better median incision revealed better. Surgery should pay special attention to the recurrent laryngeal nerve injury, this must be taken very seriously.