A case of acromegaly with mediastinal thyroid tumors

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A case of acromegaly with mediastinal thyroid tumors in a 48-year-old male is reported. A mediastinal tumor was suspected through health diagnosis. A large mediastinal tumor was discovered in the patient through a chest CT and he was introduced to our department. Growth hormone was a marked high. In the thyroid TSH the value was low, Free-T3, Free-T4 was at a normal value. We performed surgery with collar incision and sternotomy. The pathological examination showed adenomatous goiter with microscopic papillary carcinoma. We determined, because of the goiter merger and about 80% acromegaly, thyroid cancer patients, showing a high rate of prevalence in the general population, when actively reported, should have surgery.