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a Department of Thoracic Surgery, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan
b Department of Otorhinolaryngology, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan
c Department of Radiology, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan
d Department of Pathology, Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan
Accepted for publication February 26, 2009.
* Address correspondence to Dr Suemitsu, Department of Thoracic Surgery, National Hospital Organization, Kyushu Medical Center, Jigyohama 1-chome, 8-1, Chuo-ku, Fukuoka City, 810-8563, Japan (Email: suemitsu{at}qmed.hosp.go.jp).
A 55-year-old woman presented with hemosputum. She had noted thyroid swelling and computed tomography was performed by her family physician. The computed tomographic scan revealed a thyroid tumor and a mediastinal cyst connecting to the thyroid tumor. Fiberoptic bronchoscopy showed direct invasion to the right main bronchus. She was preoperatively diagnosed with thyroid cancer combined with a mediastinal tumor and underwent a thyroidectomy and mediastinal tumor resection. These tumors were adherent to the esophagus, trachea, superior vena cava, and azygos vein; however, the mediastinal cyst, despite the fact that it directly invaded the right main bronchus, showed no malignant cells.
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