Thyroid Cancer With a Cystic Mediastinal Tumor Invading the Right Main Bronchus Ryuichi Suemitsu, MD, PhD, Sadanori Takeo, MD, PhD, Motoharu Hamatake,

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Thyroid Cancer With a Cystic Mediastinal Tumor Invading the Right Main Bronchus Ryuichi Suemitsu, MD, PhD, Sadanori Takeo, MD, PhD, Motoharu Hamatake, MD, PhD, Tomoya Yamamoto, MD, PhD, Kiyomi Furuya, MD, PhD, Seiya Momosaki, MD, PhD The Annals of Thoracic Surgery Volume 89, Issue 1, Pages 296-298 (January 2010) DOI: 10.1016/j.athoracsur.2009.02.084 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) A chest computed tomographic scan showed a solid tumor of the right thyroid lobe and cystic disease of the left thyroid lobe. The tumor revealed calcification. The arrow shows the connection to the mediastinal tumor. (B) Fiber optic bronchoscopy finding shows the right upper bronchus (upper arrow) and the intermediate bronchus (lower arrow). A soft and erosive tumor was detected near the right upper bronchus. (C, D) A chest magnetic resonance image showed a cystic mass in the mediastinum that connected to the thyroid and compressed the esophagus. The tumor size was 11 × 6 × 4 cm in diameter. The Annals of Thoracic Surgery 2010 89, 296-298DOI: (10.1016/j.athoracsur.2009.02.084) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) A macroscopic finding of the resected tumors. The mediastinal tumor was below the right lobe of the thyroid (approximately 8 cm in diameter). (B, C) Microscopic findings with hematoxylin & eosin stain: (B) a low-power view (×40) and (C) a high-power view (×200). Atypical columnar cells with irregular nuclei are proliferated and arranged in papillary or glandular structures. The nuclear grooving and inclusions are observed in the tumor cells. Marked stromal hyalinization and calcification are noted. The tumor cells were not invading the capsule nor were they exposed on the resected surface. All surgical margins are negative. The Annals of Thoracic Surgery 2010 89, 296-298DOI: (10.1016/j.athoracsur.2009.02.084) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions