ArticleFrontiers in surgery2026
Case Report: Cervical approach for dual mediastinal ectopic thyroid: clinical utility of 3D imaging in surgical planning.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
We report an exceptionally rare case of synchronous dual ectopic thyroid tissue (ETT) located in both the anterior and posterior mediastinum of a 54-year-old woman presenting with a symptomatic multinodular goiter and early-stage primary hyperparathyroidism. Preoperative evaluation revealed significant tracheal compression and deviation. The patient underwent a combined procedure consisting of right subtotal thyroidectomy, left total thyroidectomy, and parathyroidectomy. While thoracoscopic resection was initially considered for the mediastinal masses, three-dimensional (3D) vascular reconstruction (VR-RENDER) revealed that the blood supply originated exclusively from cervical vessels, with no identifiable thoracic pedicles. This crucial finding enabled the safe extraction of both isolated mediastinal lesions via a single transcervical incision using blunt manual dissection, thereby obviating the need for sternotomy or thoracoscopy. The surgical outcome was excellent, with minimal blood loss (< 5 mL) and no postoperative complications. This case highlights the complex diagnostic and surgical challenges of multi-compartmental ETT and underscores the critical role of 3D imaging in optimizing preoperative planning and facilitating minimally invasive surgical approaches.
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