An intracardiac accessory thyroid gland mimicking cardiac tumor: A case report and literature review

Medicine (Baltimore). 2017 Dec;96(51):e9465. doi: 10.1097/MD.0000000000009465.

Abstract

Rationale: An accessory thyroid gland (ATG) in the right ventricle is an extremely rare condition. Described herein are histological findings of ATG in the right ventricle found in a patient with a normal cervical thyroid gland.

Patient concerns: A 53-year-old woman was referred to our hospital after experiencing intermittent precordial pain for 2 years.

Diagnoses: The mass in the right ventricle was diagnosed pathologically as ATG.

Interventions: Complete excision was performed because of the patient's intermittent precordial pain and to exclude the possibility of malignancy.

Outcome: The patient's pain was resolved. No recurrence was observed during the 6-month follow-up.

Lessons: After review and analysis of the case, we found that plain and contrast-enhanced computed tomography scans showed that the mass had a similar intensity and enhancement to a cervical thyroid gland, which we think may be a useful clue for making a preoperative diagnosis of ATG.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Diagnosis, Differential
  • Female
  • Heart Neoplasms / diagnosis*
  • Heart*
  • Humans
  • Middle Aged
  • Thyroid Dysgenesis / diagnosis*
  • Thyroid Dysgenesis / diagnostic imaging
  • Tomography, X-Ray Computed