PURPOSE It is critical to differentiate among pathologies of substernal thyroid gland diseases because surgical approaches (i.e., median sternotomy or thoracotomy) might also include a cervical incision. The aim of this study was to analyze the features of patients with goiter who underwent a thyroidectomy via a cervical incision and a median sternotomy or thoracotomy. METHODS We reviewed 9 c...

Because of their tendency to progressively enlarge with compression of adjacent structures, as well as the small chance of malignancy, most intrathoracic goiters should be excised surgically. Most anterior substernal goiters and some ipsilateral posterior mediastinal goiters can be removed safely through a cervical incision. Large posterior mediastinal goiters, contralateral retrotracheal or re...

Goiter is an enlargement of the thyroid gland which can be associated with a number of complications both for mother and fetus. A 34-year-old pregnant woman with normal function was referred to our Department Obstetrics and Gynecology at Microcitemico Pediatric Hospital, Cagliari, suspected fetal goiter 32 gestational weeks. The case monitored regularly by ultrasound and treated successfu...

A thyroid mass, most often a non toxic colloid goiter or occasionally an adenoma, is not an unusual finding below the level of the thoracic inlet.1 In 1992 Creswell and Wells estimated that these tumors comprise 5.8% of all mediastinal lesions.1 There is no standard definition for thyroid glands extending below the thoracic inlet, but such masses descend from their original cervical location fo...

premature aging of Wiedmann rautenstrauch type is a rare syndrome,of which only nine cases has been reported up to 1994.this syndrome is characterized by cardiac, mental and physical problems such as skull and vertebral malformation which can be diagnosed from birth.in this article a 24 year old woman is reportef who was reffered to interal medicine clinic with the chief complaint of palpitatio...

HYPOTHESIS A thoracic approach is commonly required in certain subsets of patients with a mediastinal thyroid mass. DESIGN A retrospective review. SETTING A tertiary referral center. PATIENTS Nine hundred seventy-six consecutive patients who underwent thyroid surgery by a single surgeon from June 1, 1991, to March 30, 1999. Symptoms of airway compression, including respiratory distress, d...