Complete excision of a giant thyroid goiter in posterior mediastinum

Chen, Xin; Xu, Hongfei; Ni, Yiming; Sun, Ke; Li, Weidong

doi:10.1186/1749-8090-8-207

Cited by 17 publications

(21 citation statements)

References 6 publications

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“…The morbidity and mortality is relatively rare. Temporary/permanent laryngeal nerve palsy, bleeding, hypoparathyroidism and respiratory failure can be seen (1,2). In our patient, lateral thoracotomy was administered without any complication.…”

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confidence: 61%

“…Intrathoracic goitre -presence of the goitre in the mediastinum -is usually seen in the anterior mediastinum and rarely in the posterior (10%-15%) (1). Mediastinal goitres can be primary or secondary The Clinical Respiratory Journal (arising from the thyroid tissue and elongating into the thorax) (2). Although mediastinal goitres can be asymptomatic, they can be symptomatic due to the compression of the intrathoracic organs such as dyspnea and dysphagia.…”

mentioning

confidence: 99%

“…Although mediastinal goitres can be asymptomatic, they can be symptomatic due to the compression of the intrathoracic organs such as dyspnea and dysphagia. Besides, thyroid function abnormalities are rarely seen (1,2). Although posterior mediastinal goitre has been reported several times in the data, tracheal deviation due to posterior mediastinal goitre has been reported only in a few reports (3,4).…”

mentioning

confidence: 99%

“…However, computed tomography commonly used to enhance a better anatomic location and features of the mass (cystic, nodule, etc.) (2). Concerning the treatment, surgical excision is recommended in symptomatic patients and different surgical approaches have been described (transcervical, cervical-thoracic and cervicalsternotomy approach).…”

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confidence: 99%

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Complete excision of a posterior mediastinal goitre causing tracheal deviation

Kermenli

Akarsu

Abakay

et al. 2016

Clinical Respiratory J

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mentioning

confidence: 61%

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confidence: 99%

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confidence: 99%

mentioning

confidence: 99%

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Complete excision of a posterior mediastinal goitre causing tracheal deviation

Kermenli

Akarsu

Abakay

et al. 2016

Clinical Respiratory J

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“…Kekurangan zat yodium akan menyebabkan subclinical hypothyroidisme, akibat peningkatan kadar TSH kemudian terjadi hipertropi kelenjar tiroid. 1,2 Pembesaran kelenjar tiroid tidak hanya terjadi pada daerah leher saja, tetapi bisa juga terjadi pembesaran kelenjar tiroid hingga mencapai rongga toraks yang disebut retrosternal goiter. Haller adalah orang yang pertama kali melaporkan kasus retrosternal goiter pada tahun 1749.…”

Section: Pendahuluanunclassified

Seorang Penderita dengan Retrosternal Goiter

Mawardi

Maranatha

2019

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Background: Retrosternal goiter of the thyroid gland is the inclusion of 50% or more into the thoracic cavity. Many terms are used to describe the entry of the thyroid gland into the thoracic cavity include: substernal goiter, intrathoracic goiter, retrosternal goiter and mediastinal goitre. Case: We report the case of a woman with retrosternal goiter initially suspected as a tumor in the mediastinum. Patients present with chest pain and no visible enlargement of the thyroid gland in the neck. On examination thoracic CT scan and found an enlarged thyroid gland in the chest cavity is then performed total thyroidectomy surgery and sternotomy. Conclusion: This case illustrates retrosternal goiters should be differentiated from other mediastinal masses by appropriate work-up, while computed tomography is the most valuable technique and surgical management is mandatory.

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Surgical Treatment of Retrosternal Goitre

Welman

Heyes

Dalal

et al. 2017

Indian J Otolaryngol Head Neck Surg

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This study aims to evaluate surgical approaches to the management of retrosternal goitre. Between 2004 and 2014, 35 patients (eight males; mean age 67.4 ± 10.9 years) with retrosternal goitre (mainly right-sided in 9, left-sided in 14 and bilateral in 12) underwent surgery. A palpable neck mass was found in 11 (31.4%), stridor in 10 (28.6%) and thyrotoxicosis in 4 (11.4%) cases. 4 (11.4%) patients were asymptomatic. Tracheal compression was detected radiologically in 27 (77.2%) patients with deviation in 18 (51.4%). A collar incision was performed in 34 patients, 6 (17.1%) of whom required additional sternotomy, 1 (2.9%) was assisted by an anterior mediastinotomy. 1 (2.9%) had a right lateral thoracotomy. There was no operative mortality. Transient vocal changes occurred in 3 (8.6%) patients, recurrent laryngeal nerve palsy in 3, atrial fibrillation in 2, and wound complications in 2 (5.7%). Hospital stay ranged from 2 to 12 days (5.5 ± 2.0). Multinodular goitre was found in 33 patients, diffuse goitre in 1 and ectopic thyroid in 1. The average vertical length of goitres in the collar incision group was 7.6 cm compared to 10.6 cm in the sternotomy group. The average weight of specimens was 156.3 g in patients with collar incisions and 307.5 g in the sternotomy group. Removal of retrosternal goitre is more commonly performed via a cervical collar incision with mandatory availability of sternotomy. Radiological measurement of craniocaudal length may predict the risk of sternotomy. Surgical outcomes are not affected by surgical approach.

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Complete excision of a giant thyroid goiter in posterior mediastinum

Cited by 17 publications

References 6 publications

Complete excision of a posterior mediastinal goitre causing tracheal deviation

Complete excision of a posterior mediastinal goitre causing tracheal deviation

Seorang Penderita dengan Retrosternal Goiter

Surgical Treatment of Retrosternal Goitre

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