Abstract
Aberrant mediastinal goiters are very rarely seen. They originate from the ectopic thyroid tissue located in the mediastinum, without any connection with the cervical thyroid gland. Aberrant mediastinal tumors usually have their vascular supply from local mediastinal vessels. We report a case of aberrant mediastinal goiter resected by VATS. A 70-year-old female was admitted for the treatment of a mediastinal tumor. Computed tomography revealed a middle mediastinal tumor that measured 30×25×70 mm. MRI revealed neither communication between the mass and thyroid gland, nor major feeding vessels. The tumor was resected with VATS and cervical incision, and diagnosed as adenoma isolated from the thyroid gland. The surgical approach should be determined carefully by the location of the tumor.