Retrosternal goitre: a diagnostic quandary
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20211594Keywords:
Goitre, Thyroidectomy, Retrosternal, SubsternalAbstract
Retrosternal goitre is usually referred to enlarged thyroid gland with more than 50% of its mass below the thoracic inlet. It has clinical importance because it may cause compression of the major vessels in the neck. In this article we are reporting a case of 51-year-old female who came to the otolaryngology clinic with slight dyspnoea on exertion for 3 years. She was an elderly female, obese, with a short broad neck with no obvious swelling in the neck. Surgical resection of the mass with either isolated neck incision or neck incision/sternotomy remains the treatment of choice.
References
Agha A, Glockzin G, Ghali N, Iesalnieks I, Schlitt HJ. Surgical treatment of substernal goiter: an analysis of 59 patients. Surg Today. 2008;38(6):505-11.
Huins CT, Georgalas C, Mehrzad H, Tolley NS. A new classification system for retrosternal goitre based on a systematic review of its complications and management. Int J Surg. 2008;6(1):71-6.
Crile GC. Intrathoracic Goiter. Cleve Clin quaterly 1939;6:313-22.
Randolph GW. Surgery of Cervical and Substernal goiter. In: Randolph GW, eds. Surgery of the thyroid and parathyroid. 3rd ed. Philadelphia, PA: W.B.Saunders; 2003: 70-99.
Reeve TS, Rubinstein C, Rundle FF. Intrathoracic goitre: its prevalence in Sydney metropolitan mass radiography surveys. Med J Aust. 1957;44(5):149-56.
Johnston JH, Twente GE. Surgical approach to intrathoracic (mediastinal) goiter. Ann Surg. 1956;143(5):572-9.
Rodriguez JM, Hernandez Q, Piñero A, Ortiz S, Soria T, Ramirez P, et al. Substernal goiter: clinical experience of 72 cases. Ann Otol Rhinol Laryngol. 1999;108(5):501-4.
Hall TS, Caslowitz P, Popper C, Smith GW. Substernal goiter versus intrathoracic aberrant thyroid: a critical difference. Ann Thorac Surg. 1988;46(6):684-5.
Singh B, Lucente FE, Shaha AR. Substernal goiter: a clinical review. Am J Otolaryngol. 1994;15(6):409-16.
