A Large Substernal Goiter that Extended to Both Sides of the Thorax
Joint Authors
Rino, Yasushi
Yamazaki, Haruhiko
Iwasaki, Hiroyuki
Suganuma, Nobuyasu
Masudo, Katsuhiko
Nakayama, Hirotaka
Kohagura, Kaori
Toda, Soji
Goda, Motohiko
Masuda, Munetaka
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-05
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Most substernal goiters can be managed through the transcervical approach, but a sternotomy is required in some cases.
This report is about a large substernal goiter, which was resected via a transcervical and full sternotomy approach.
The patient was a 57-year-old female, who visited our hospital for surgical treatment for a large substernal goiter.
Computed tomography of the neck and chest revealed that the substernal goiter extended to both sides of the thorax and had compressed the trachea.
We performed total thyroidectomy safely via a transcervical and full sternotomy approach.
No postoperative complications occurred, except transient hypocalcemia.
A histopathological examination did not reveal any malignancy, and the lesion was diagnosed as an adenomatous goiter.
Most substernal goiters can be managed through the transcervical approach, but a full sternotomy is required when a substernal goiter extends to both sides of the thorax and/or has a larger diameter than the thoracic inlet or airway constriction is revealed.
A full sternotomy provides excellent exposure and can help reduce the risk of complications, such as recurrent laryngeal nerve palsy and injuries to major blood vessels.
American Psychological Association (APA)
Nakayama, Hirotaka& Goda, Motohiko& Kohagura, Kaori& Suganuma, Nobuyasu& Iwasaki, Hiroyuki& Yamazaki, Haruhiko…[et al.]. 2018. A Large Substernal Goiter that Extended to Both Sides of the Thorax. Case Reports in Surgery،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150571
Modern Language Association (MLA)
Nakayama, Hirotaka…[et al.]. A Large Substernal Goiter that Extended to Both Sides of the Thorax. Case Reports in Surgery No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1150571
American Medical Association (AMA)
Nakayama, Hirotaka& Goda, Motohiko& Kohagura, Kaori& Suganuma, Nobuyasu& Iwasaki, Hiroyuki& Yamazaki, Haruhiko…[et al.]. A Large Substernal Goiter that Extended to Both Sides of the Thorax. Case Reports in Surgery. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1150571
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150571