Ectopic thyroid mass separately present in mediastinum and not a retrosternal extension: a rare case report

Grace Budhiraja; Harsimrat Singh; Harpreet .; Prabhjot .; Nischai Goyal

doi:10.18203/issn.2454-5929.ijohns20231818

Authors

Grace Budhiraja Department of Otorhinolaryngology and Head and Neck Surgery, Adesh Institute of Medical Sciences Research, Bathinda, Punjab, India
Harsimrat Singh Department of Otorhinolaryngology and Head and Neck Surgery, Adesh Institute of Medical Sciences Research, Bathinda, Punjab, India
Harpreet . Department of Otorhinolaryngology and Head and Neck Surgery, Adesh Institute of Medical Sciences Research, Bathinda, Punjab, India
Prabhjot . Department of Otorhinolaryngology and Head and Neck Surgery, Adesh Institute of Medical Sciences Research, Bathinda, Punjab, India
Nischai Goyal Department of Otorhinolaryngology and Head and Neck Surgery, Adesh Institute of Medical Sciences Research, Bathinda, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20231818

Keywords:

Thyroid, Retrosternal extension, Dyspnoea, Dysphonic, Dysphagia

Abstract

Retrosternal extension of goiter is one of the most common types of masses in the superior mediastinum. These types of goiters classically present with compressive symptoms such as dyspnoea, dysphonia, dysphagia, or sleep apnea. Surgical treatment with a total thyroidectomy and complete removal of the intrathoracic portion of thyroid is the gold standard treatment. These cervico-mediastinal lesions at times may not be continuous, and a sternotomy may be required for complete and safe excision of the mediastinal mass to achieve decompression of the surrounding structures and preventing the hemorrhagic complications if attempted from cervical incision.

Metrics

Metrics Loading ...

References

Shah PJ, Bright T, Singh SS, Lang CM, Pyragius MD, Malycha P, et al. Large retrosternal goitre: a diagnostic and management dilemma. Heart Lung Circ. 2006;15(2):151-2.

Regal MA, Zakaria HM, Ahmed AS, Aljehani YM, Enani HS, Al Sayah AA. Substernal thyroid masses. Oman Med J. 2010;25(4):315-7.

Gervasi R, Orlando G, Lerose MA, Amato B, Docimo G, Zeppa P, Puzziello A. Thyroid surgery in geriatric patients: a literature review. BMC Surg. 2012;12(1):S16.

Rosato L, De Toma G, Bellantone R, Avenia N, Cavallaro G, Dobrinja C, et al. Diagnostic, therapeutic and healthcare management protocols in thyroid surgery: 3rd consensus conference of the Italian association of endocrine surgery units (U.E.C. CLUB)]. Minerva Chir. 2012;67(5):365-79.

Nistor C, Ciuche A, Motaş C, Motaş N, Bluoss C, Pantile D, et al. Cervico-mediastinal thyroid masses - our experience. Chirurgia (Bucur). 2014;109(1):34-43.

Polistena A, Monacelli M, Lucchini R, Triola R, Conti C, Avenia S, et al. Surgical management of mediastinal goiter in the elderly. Int J Surg. 2014;12:S148-15.

Tsakiridis K, Visouli AN, Zarogoulidis P, Karapantzos E, Mpakas A, Machairiotis N, et al. Resection of a giant bilateral retrovascular intrathoracic goiter causing severe upper airway obstruction, 2 years after subtotal thyroidectomy: a case report and review of the literature. J Thorac Dis. 2012;4:41-8.