CASE REPORT |
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Year : 2017 | Volume
: 6
| Issue : 4 | Page : 190-193 |
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Primary retrosternal goiter mimicking as teratoma of anterior mediastinum: A diagnostic enigma
Ramana Reddy Naru1, Manilal Banoth1, Mohammed Basheeruddin Inamdar1, Aruna K Prayaga2
1 Department of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupathi, Andhra Pradesh, India 2 Department of Pathology, Sri Venkateswara Institute of Medical Sciences, Tirupathi, Andhra Pradesh, India
Correspondence Address:
Ramana Reddy Naru Department of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupathi - 517 501, Andhra Pradesh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ccij.ccij_42_17
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Primary intrathoracic goiters arising from aberrant thyroid tissue are rare, representing <1% of all retrosternal goiters (RGs). We report a rare case of primary RG in a male patient with symptoms of mediastinal mass lesion alone. By careful examination and with the help of radiological imaging, we could pick up a thyroid swelling with a mediastinal mass which led to a diagnostic dilemma, as the thyroid swelling was reported as a multinodular goiter and the mediastinal mass was misdiagnosed as teratoma. We subjected the patient to a functional imaging with a thyroid scintigraphy, which revealed a thyroid swelling with retrosternal extension that was managed by surgery (total thyroidectomy and mediastinal mass excision) with only a Kocher's neck crease incision. |
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