Presentation
Attended Accident and Emergency. Shortness of breath and chest pain.
Patient Data
Age: 70 years
Gender: Female
From the case:
Goiter
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Large symmetrical anterior mediastinal mass.
The superior aspect of the mass ' fades away ' in keeping with this being a superior mediastinal mass, in particular the thyroid gland.
No significant tracheal displacement,
Case Discussion
Mediastinal masses are classically classified into being anterior, middle or posterior in location. This is hypothetical in that:
- these mediastinal spaces are anatomical rather than structural
- many mediastinal masses with involve more than one space
Anterior mediastinal masses are composed largely of the the 4Ts:
- thyroid gland (most common)
- thymoma
- teratoma
- "terrible" lymphoma