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Updated: May 9, 2026

Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
[Mediastinal involvement of thyroid cancer with mediastinal lymph node metastasis; report of a case]
Takehiko Okagawa1, Yoshinori Hiramatsu
1Department of Chest Surgery, Toyota Kosei Hospital, Toyota, Japan.
Abstract:
We report a surgical case of mediastinal involvement of papillary adenocacinoma of thyroid with mediastinal lymph node metastasis. A 58-year-old male was admitted to our hospital with laryngeal discomfort. The laryngeal fiber scopy showed left recurrent nerve palsy, although he hadn't noticed hoarseness before admission. An enhanced computed tomography(CT)scan revealed a heterogeneous 3×3 cm mass in the upper mediastinum. The 18F-fluorodeoxyglucose-positron emission tomography( FDG-PET)showed an accumulation of FDG in the mass and also in a mediastinal lymph node. The incisional biopsy on mediastinoscopy revealed a papillary adenocarcinoma of thyroid and a total thyroidectomy with resection of mediastinal lymph node through cervical and reverse-T upper mini-sternotomy approach was performed.
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