A rare combination of Thyroid, Parathyroid and Thymic disorder
• 31/F, ENT surgeon presented with• A rare combination of Multinodular goitre + Right
Inferior Non Functioning Parathyroid adenoma with Invasive Thymoma
• Underwent Surgery on 20/11/11: Right Hemithyroidectomy + Parathyroid tumor excision + Sternotomy and Complete excision of the thymoma which was infiltrating the left Pleura, Lung and densly adherant to the Hilar structures
Thyroid & Parathyroids(enlarged one & other normal)
Sternotomy and mobilisation of Thymic mass
Heart
Lung
Pericardium
Thymic mass
Aorta
Brachiocephalic vein
Lung infiltration
Thymic mass
Surgical field after excision of thymoma
Heart
Left lung
Aorta
Epicentre of Thymoma
Entire Surgical field: trachea and mediastimnum
Surgical Specimens