A Case of Substernal Goitre

Surgical management of substernal goitre: local experience.

OBJECTIVES To examine the presentation, workup, and surgical complications of substernal goitre. DESIGN Retrospective study. SETTING Regional hospital, Hong Kong. PATIENTS Twenty-four mostly elderly patients (mean age, 60.1 years) who underwent thyroidectomy for substernal goitres between 2000 and 2003 (substernal goitres were defined as those having either a caudal mass transgressing the...

Trans-cervical resection of a separate substernal goitre

INTRODUCTION A separate substernal goitre which is not continuous with the main cervical thyroid proves a unique challenge for resection. A trans-cervical approach is preferred but may be hazardous due to the possibility of ectopic thyroid tissue with alternate blood supply. PRESENTATION OF CASE A 72year old female who had a previous left hemithyroidectomy presents with a symptomatic central ...

Postobstructive pulmonary edema associated with a substernal goitre.

Extraction of substernal goitre using an innovative vacuum device.

The extraction by cervicotomy of substernal goitres may be impossible and sometimes requires the enlargement of the thoracic inlet with at least a sternal-split. We present the extraction of a posterior mediastinal substernal goitre with the application of an innovative vacuum-based suction device, previously used for the control of bleeding from the heart and great vessels in clinical and expe...

Superior vena caval syndrome due to substernal goitre.

Superior vena caval syndrome is usually due to malignant disease, however, benign cases do occur. Two patients with superior vena caval syndrome due to substernal goitre are reported, and the use of phleboscintigraphy and/or vena caval phlebography are advocated. A review of potentially helpful diagnostic procedures is given.