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Eur J Cardiothorac Surg 2004;26:211-212
© 2004 Elsevier Science NL

Images in cardio-thoracic surgery

Ectopic mediastinal thyroid adenoma

J. Bodnera, C.A. Lottersbergerb, W. Kirchmayra, T. Schmida*

a Department of General and Transplant Surgery, University Hospital Innsbruck, Anichstrasse 35, A-6020 Innsbruck, Austria
b Department of Radiology, University Hospital Innsbruck, Innsbruck, Austria

Received 12 January 2004; received in revised form 30 March 2004; accepted 5 April 2004.

* Corresponding author. Tel.: +43-512-504-28544; fax: +43-512-504-675948
e-mail: thomas.schmid{at}uibk.ac.at

Key Words: Multinodular goiter • Intrathoracic thyroid adenoma • Robotics

A 72-year-old woman presented with a bilateral multinodular cervical goiter and an entirely separate, intrathoracic thyroid adenoma. This tumor was surrounded by the azygos vein, the superior vena cava, and the confluence of the innominate veins (Fig. 1). It was resected thoracoscopically with the da VinciTM operating robot. Histology confirmed a thyroid adenoma (Fig. 2) .



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  		Fig. 1. Axial (a), frontal (b) and sagittal (c) CT-image of the thyroid adenoma between the azygos vein (az.v.), the superior vena cava (sup.v.c.) and the confluence of the innominate veins (inn.v.).

 


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  		Fig. 2. Thoracoscopic image (a), macroscopic specimen (b) and histology (c).

 



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