PMC4390562_01
Chest radiography: enlargement of the superior mediastinum with right tracheal deviation.
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The chest radiography showed an enlargement of the superior mediastinum associated to a right tracheal deviation (Fig. 1).
Computed tomography chest scan (axial section) after iodinated contrast: a liquid mass of the middle mediastinum, well-limited, heterogeneous, repressing trachea and supra-aortic trunks without invasion signs.
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The computed tomography chest scan revealed a cervico-mediastinal multilocular mass extended from the left thyroid lobe to the tracheal bifurcation measuring 12 cm in height (Fig. 2).
(a) Tumor removal through the cervical approach. (b) Tumor's aspect after a complete monoblock extirpation.
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Cystic mass was completely resected by a transversal cervicotomy after aspiration of the hemorrhagic content (Fig. 3a). The left recurrent laryngeal nerve seems to be carried away with the tumor (Fig. 3b).