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