S Madjar1, D Weissberg. 1. Department of Surgery, Tel Aviv University Sackler School of Medicine, Holon, Israel.
Abstract
BACKGROUND: Retrosternal goiter is a common cause of compression of adjacent structures, and it may harbor cancer. METHODS: During a 22-year period, we treated 44 patients with intrathoracic multinodular goiter. RESULTS: The goiter was resected in 40 patients; 4 patients were rejected because of prohibitive risk. There were three minor complications and no deaths. CONCLUSIONS: The specific indications for resection include compression of adjacent structures, prevention of future complications, and obtaining a diagnosis. Fine-needle aspiration for diagnosis is not always possible and rarely reliable, and there is no effective medical therapy. Cervical incision is nearly always adequate, with few exceptions, such as very large posterior goiter, mediastinal blood supply, or carcinoma necessitating mediastinal dissection.
BACKGROUND: Retrosternal goiter is a common cause of compression of adjacent structures, and it may harbor cancer. METHODS: During a 22-year period, we treated 44 patients with intrathoracic multinodular goiter. RESULTS: The goiter was resected in 40 patients; 4 patients were rejected because of prohibitive risk. There were three minor complications and no deaths. CONCLUSIONS: The specific indications for resection include compression of adjacent structures, prevention of future complications, and obtaining a diagnosis. Fine-needle aspiration for diagnosis is not always possible and rarely reliable, and there is no effective medical therapy. Cervical incision is nearly always adequate, with few exceptions, such as very large posterior goiter, mediastinal blood supply, or carcinoma necessitating mediastinal dissection.
Authors: Antonio Ríos; José M Rodríguez; Pedro J Galindo; Juan Torres; Manuel Canteras; María D Balsalobre; Pascual Parrilla Journal: Surg Today Date: 2008-05-31 Impact factor: 2.549
Authors: Igor Brichkov; Shintaro Chiba; Victor Lagmay; Jason P Shaw; Loren J Harris; Michael Weiss Journal: J Thorac Dis Date: 2017-08 Impact factor: 2.895