The Surgical Management of Retrosternal (Intrathoracic) Goiter
نویسنده
چکیده
Retrosternal (intrathoracic) goiter has a prevalence of 4 to 20% of patients undergoing thyroidectomy for multinodular goiter. Although it is a condition affecting the older patient with a peak incidence in the sixth decade, the majority should be treated surgically. With few exceptions the operation can be safely accomplished through a cervical approach, only a small minority (approximately 2%) needing a combined cervical/mediastinal procedure. The surgical steps for the routine case are described and also various technical maneuvers required to facilitate delivery and excision of the difficult large goiter.
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Retrosternal goiter with posterior mediastinal extension surgery in a patient with superior vena cava obstruction through a classic neck incision; Case report
Intrathoracic goiters are usually located anteriorly, in the superior or anterior mediastinum, and are termed substernal or retrosternal goiters. Posterior mediastinal goiters are rare, about 10% of all intrathoracic goiters. Patients with retrosternal goiter usually have a visible or palpable cervical mass. In addition, tracheal deviation may be present with compression symptoms. Posterior med...
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