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Ectopic Thyroid Tissue in the Anterior Mediastinum: A Case Report.
Cureus
June 2024
Surgery, Corewell Health East, Dearborn, USA.
Ectopic thyroid tissue (ETT) is a rare finding on mediastinoscopy which could be attributed to a defect early in thyroid gland embryogenesis, as the glandular tissue makes its way to a pre-tracheal position. The more distal the location of the ectopic tissue from typically neighboring structures, such as the recurrent laryngeal nerves or the superior thyroid artery, the greater the likelihood for issues such as hyperthyroidism, compression of nearby neurovascular structures, and malignancy. Depending on the exact anatomical location and hormonal activity of the tissue, management can range from administration of iodine to surgical resection.
View Article and Find Full Text PDFA Case of a Constricted Vessel: The Impact of Acute Myeloid Leukemia on the Superior Vena Cava.
Cureus
November 2023
Internal Medicine, Baylor St. Luke's Medical Center, Houston, USA.
Article Synopsis
- Acute myeloid leukemia (AML) is the most common leukemia in adults, with increasing cases worldwide and typically shows vague symptoms like pallor and fever.
- This case study focuses on a 25-year-old woman who presented with unusual symptoms—unilateral facial swelling, chest pain, and shortness of breath—leading to the discovery of a mass around the superior vena cava, indicating SVC syndrome.
- The diagnosis of myeloid sarcoma-associated AML was confirmed through biopsy, and treatment included surgery, chemotherapy, and managing complications, emphasizing the potential for unusual presentations of AML that complicate diagnosis and treatment.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA): revolutionizing the landscape of lung disease diagnostics.
J Med Ultrason (2001)
April 2024
Department of Endoscopy, Jichi Medical University Hospital, Tochigi, Japan.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has emerged as a revolutionary diagnostic tool for lung diseases, including lung cancer, sarcoidosis, and lymphoproliferative diseases. This minimally invasive procedure offers a superior diagnostic yield while ensuring maximum patient safety when compared to traditional invasive techniques such as mediastinoscopy and thoracoscopy. By enabling real-time imaging and sampling of mediastinal and hilar lymph nodes and masses directly from the bronchoscope, EBUS-TBNA has redefined the precision of diagnostic bronchoscopy.
View Article and Find Full Text PDFA National Survey of Surgeons Evaluating the Accuracy of Mediastinal Lymph Node Identification.
Clin Lung Cancer
July 2023
Department of Surgery, University of Virginia, Charlottesville, VA.
Background: The Commission on Cancer implemented Standard 5.8 in 2021, which requires removal of 3 mediastinal nodes and 1 hilar node with lung cancer resection. We conducted a national survey to assess whether surgeons who treat lung cancer in different clinical settings correctly identify mediastinal lymph node stations.
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