Substernal goiter is considered to be a dia-gnostic differential for all anterosuperior mediastinal masses.For a substernal goiter,surgical removal is sug-gested when it is large in size,with a possibility for malig-n...Substernal goiter is considered to be a dia-gnostic differential for all anterosuperior mediastinal masses.For a substernal goiter,surgical removal is sug-gested when it is large in size,with a possibility for malig-nancy or has local compression of adjacent structures.This can be performed through the neck or by the addition of a partial or complete sternotomy if necessary.A 58-year-old Chinese man from Guangdong Province had had dry cough for a year.A subsequent CT scan in our hospital suggested‘‘ectopic intrathoracic thyroid’’.Fine needle percutaneous mass biopsy also suggested‘‘ectopic intrathoracic thyroid’’.We performed a standard median sternotomy to remove the mass.It measured 13 cm 68 cm 66 cm in size,and weighed 2.8 kg.The patho-logical diagnosis confirmed a benign thyroid adenoma.The patient had no hoarseness,dyspnea or hypocalcemia and was quickly extubated in the operating room.Recently,we encountered a big substernal goiter and had performed successful resection,which is reported here for reference.展开更多
Approximately 25%of goiters extend to the substernal area,and most of them can be removed through a cervical incision.Goiters that extend into the posterior mediastinum are very rare,and resection usually requires tho...Approximately 25%of goiters extend to the substernal area,and most of them can be removed through a cervical incision.Goiters that extend into the posterior mediastinum are very rare,and resection usually requires thoracotomy.In recent years,there have been several reports of resection of substernal goiters by minimally invasive surgery.Here,we present a 75-year-old female with a giant substernal goiter who successfully underwent resection of the goiter extending to the posterior mediastinum using low cervical incision combined with video-assisted thoracoscopy.展开更多
文摘Substernal goiter is considered to be a dia-gnostic differential for all anterosuperior mediastinal masses.For a substernal goiter,surgical removal is sug-gested when it is large in size,with a possibility for malig-nancy or has local compression of adjacent structures.This can be performed through the neck or by the addition of a partial or complete sternotomy if necessary.A 58-year-old Chinese man from Guangdong Province had had dry cough for a year.A subsequent CT scan in our hospital suggested‘‘ectopic intrathoracic thyroid’’.Fine needle percutaneous mass biopsy also suggested‘‘ectopic intrathoracic thyroid’’.We performed a standard median sternotomy to remove the mass.It measured 13 cm 68 cm 66 cm in size,and weighed 2.8 kg.The patho-logical diagnosis confirmed a benign thyroid adenoma.The patient had no hoarseness,dyspnea or hypocalcemia and was quickly extubated in the operating room.Recently,we encountered a big substernal goiter and had performed successful resection,which is reported here for reference.
基金supported by the Fundamental Research Funds for the Central Universities(2021FZZX005-21).
文摘Approximately 25%of goiters extend to the substernal area,and most of them can be removed through a cervical incision.Goiters that extend into the posterior mediastinum are very rare,and resection usually requires thoracotomy.In recent years,there have been several reports of resection of substernal goiters by minimally invasive surgery.Here,we present a 75-year-old female with a giant substernal goiter who successfully underwent resection of the goiter extending to the posterior mediastinum using low cervical incision combined with video-assisted thoracoscopy.
