{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:10:24Z","timestamp":1756278624647,"version":"3.44.0"},"reference-count":16,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,6,1]]},"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p>Ectopic goitre, presenting as an isolated thoracic mass without connection to the main thyroid gland enlargement, is a rare occurrence. We describe a case where a patient reported persistent dry cough and back pain for 1 year, along with throat discomfort unresponsive to medication. A 2\u00d71 cm swelling was noted over the right anterior aspect of the neck. Extensive evaluation, including chest X-rays and contrast-enhanced CT of the thorax, revealed a mediastinal mass suggestive of an ectopic thyroid.<\/jats:p>\n               <jats:p>This case presents a distinctive scenario involving the simultaneous presence of ectopic mediastinal and cervical thyroid lesions. Both were effectively managed using a minimally invasive approach, combining video-assisted thoracic surgery for the excision of the mediastinal mass and a bilateral axillo-breast approach for the cervical lesion in a single procedure. This approach yielded minimal morbidity, aesthetically pleasing outcomes and rapid recovery. Remarkably, such a case has not been previously documented in the available literature.<\/jats:p>","DOI":"10.1136\/bcr-2023-259047","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T22:35:24Z","timestamp":1718750124000},"page":"e259047","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Modified surgical fusion: VATS and BABA approach for ectopic intrathoracic and cervical thyroidectomy"],"prefix":"10.1136","volume":"17","author":[{"given":"Puneeth","family":"Thalasta","sequence":"first","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajinder","family":"Parshad","sequence":"additional","affiliation":[{"name":"Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shipra","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Pathology, All India Institute of Medical Sciences, New Delhi, Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"key":"2025082623421759000_17.6.e259047.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2007.02.003"},{"key":"2025082623421759000_17.6.e259047.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)62645-8"},{"key":"2025082623421759000_17.6.e259047.3","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/S1052-3359(25)00043-2","article-title":"Mediastinal masses originating in the neck","volume":"2","author":"Creswell","year":"1992","journal-title":"Chest Surg Clin N Am"},{"key":"2025082623421759000_17.6.e259047.4","unstructured":"Wakely CPG , Mulvaney JH . Intrathoracic Goiter. SGO 1940;70:703. Shields, TW. General Thoracic Surgery, Chapter 168. 6th edn. 2005:2500\u201312."},{"key":"2025082623421759000_17.6.e259047.5","first-page":"131","article-title":"Ectopic Intrathoracic thyroid: case report","volume":"71","author":"Sakorafas","year":"2004","journal-title":"Mt Sinai J Med"},{"key":"2025082623421759000_17.6.e259047.6","unstructured":"Shields TW . The Mediastinum, Its Compartments, and the Mediastinal Lymph Nodes, Shields, TW. General Thoracic Surgery, Chapter 154. 6th edn. 2005:2343\u20136."},{"key":"2025082623421759000_17.6.e259047.7","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1177\/000313480206800306","article-title":"The clinical presentation and operative management of nodular and diffuse substernal thyroid disease","volume":"68","author":"Hedayati","year":"2002","journal-title":"Am Surg"},{"key":"2025082623421759000_17.6.e259047.8","doi-asserted-by":"crossref","first-page":"226","DOI":"10.4103\/1117-1936.171344","article-title":"Pattern of Intrathoracic Goiter in Ibadan, Nigeria","volume":"9","author":"Adegboye","year":"2002","journal-title":"Niger Postgrad Med J"},{"key":"2025082623421759000_17.6.e259047.9","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-924440"},{"key":"2025082623421759000_17.6.e259047.10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20102"},{"key":"2025082623421759000_17.6.e259047.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.07.097"},{"key":"2025082623421759000_17.6.e259047.12","doi-asserted-by":"publisher","DOI":"10.1097\/IMI.0b013e3181662c6a"},{"key":"2025082623421759000_17.6.e259047.13","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.07.009"},{"key":"2025082623421759000_17.6.e259047.14","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21864"},{"key":"2025082623421759000_17.6.e259047.15","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1007\/s12262-012-0494-8","article-title":"Operative technique of endoscopic thyroidectomy: a narration of general principles","volume":"75","author":"Bhargav","year":"2013","journal-title":"Indian J Surg"},{"key":"2025082623421759000_17.6.e259047.16","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0481-y"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-259047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:42:25Z","timestamp":1756276945000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-259047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":16,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,6,18]]},"published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1136\/bcr-2023-259047"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-259047","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}