Surgical management of bulky mediastinal metastases in follicular thyroid carcinoma

Joint Authors

Adwin, Zainal
Nur, Ayyub
Suhaimi, Shahrun
Rahman, Ramzisham

Source

Oman Medical Journal

Issue

Vol. 31, Issue 1 (31 Jan. 2016), pp.69-72, 4 p.

Publisher

Oman Medical Specialty Board

Publication Date

2016-01-31

Country of Publication

Oman

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Follicular thyroid adenoma and carcinoma are very common.

Benign and malignant lesions are usually indistinguishable from cytology alone and often require confirmatory resection.

The spread of follicular carcinoma is usually hematogenous and is treated with surgery and adjuvant radioactive iodine.

Very rarely, metastases occur in the mediastinum.

Patients usually present with severe compressive symptoms.

With proper treatment and follow-up, the prognosis for these type of thyroid malignancies is excellent.

In the case presented here, our patient presented to the Universiti Kebangsaan Malaysia Medical Center with a progressively enlarging anterior neck swelling.

The swelling had started 10 years before his presentation.

We diagnosed him with an advanced thyroid malignancy with bulky mediastinal metastases.

After extensive investigations and counseling, we chose to treat the patient with tumor excision and mediastinal metastases resection.

Typically, mediastinal resection involves the removal of the sternum and use of an acrylic implant to recreate the sternum.

In this case, the sternum and ribs were removed with subsequent myocutaneous flap coverage for the wound defect.

Our experience represents an alternative treatment option in cases where implant use is unsuitable.

American Psychological Association (APA)

Adwin, Zainal& Nur, Ayyub& Suhaimi, Shahrun& Rahman, Ramzisham. 2016. Surgical management of bulky mediastinal metastases in follicular thyroid carcinoma. Oman Medical Journal،Vol. 31, no. 1, pp.69-72.
https://search.emarefa.net/detail/BIM-748760

Modern Language Association (MLA)

Adwin, Zainal…[et al.]. Surgical management of bulky mediastinal metastases in follicular thyroid carcinoma. Oman Medical Journal Vol. 31, no. 1 (Jan. 2016), pp.69-72.
https://search.emarefa.net/detail/BIM-748760

American Medical Association (AMA)

Adwin, Zainal& Nur, Ayyub& Suhaimi, Shahrun& Rahman, Ramzisham. Surgical management of bulky mediastinal metastases in follicular thyroid carcinoma. Oman Medical Journal. 2016. Vol. 31, no. 1, pp.69-72.
https://search.emarefa.net/detail/BIM-748760

Data Type

Journal Articles

Language

English

Record ID

BIM-748760