A rare case of ectopic retrosternal goiter

Abstract

It is important for the clinician to be familiar with interpreting a variety of radiological modalities that provide vital information that will aid in the preoperative planning, counseling, and subsequent management of patients with retrosternal goiter.

Mediastinal Goiter from the View of Thoracic Surgery

“…This happened in one of our patients, whereas postoperatively the final pathological result declared that the goiter had a large malignant component in the chest portion (2) . Chia et al (16) revealed that the incidence of malignancy in substernal goiters is almost the same as that found in cervical goiters (3% to 21%). In our series, the incidence of malignancy was 4.7% and was diagnosed postoperatively as discussed before.…”

“…Blind maneuvers to attempt to dislocate the mediastinal component of the goiter into the neck via passage of a Foley's catheter into the mediastinum, morcellation of the RSG, and insertion of strong silk sutures into the cervical goiter to apply traction from the neck are discouraged due to the risk of uncontrollable hemorrhage and the possibility of injury to adjacent critical structures in the thoracic inlet (1,7,13,16) .…”

“…Extracervical approaches for resection of RSG goiters are either through sternotomy, manubriotomy or thoracotomy (anterior or posterior). Anterior mediastinal goiters are operated by sternotomy or anterior thoracotomy, while posterior mediastinal goiters usually require excision through posterolateral thoracotomy (12,16) . A novel was published in 2006 using anterior mediastinotomy together with the cervical incision with performing bimanual manipulation to deliver the troublesome retrosternal goiter (24) .…”

“…A novel was published in 2006 using anterior mediastinotomy together with the cervical incision with performing bimanual manipulation to deliver the troublesome retrosternal goiter (24) . Thoracoscopy, and more recently robotic assisted thoracoscopy, have also been used to aid in resection of RSG and are described in a few case series (7,12,14,16) .…”

An accessory mediastinal thyroid: A case report

“…Goiter is a diffuse or localized thyroid gland enlargement. 1 It is more common in women and is associated with an increase in thyroid hormones and, subsequently, an increase in TSH, which causes the enlargement of the thyroid tissue. It is usually in the neck, but sometimes it spreads into the thorax and mediastinum.…”