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Langenbeck's Archives of Surgery

, Volume 383, Issue 5, pp 337–339 | Cite as

Thyroid carcinoma in intrathoracic goiter

  • M. Nervi
  • P. Iacconi
  • C. Spinelli
  • A. Janni
  • P. Miccoli
ORIGINAL ARTICLE

Abstract

Introduction: Most cases of intrathoracic goiter can be managed by cervical incision alone. A thoracic approach may be needed when adhesions or an anomalous blood supply are present or carcinoma is suspected. Patients and methods: Only 44 patients out of 5263 operated on for goiter needed a thoracic incision. A sternotomy was performed in 29 cases and a thoracotomy in 15; a malignancy was present in 9 cases. Symptoms, surgical approach, histology, survival and pTN staging of these 9 patients were reviewed and discussed; no perioperative mortality was observed. Discussion: A thoracic approach is more frequently needed for treatment of intrathoracic thyroid carcinoma as it offers a greater chance of radical excision and better control of intraoperative bleeding. Histologically, thyroid carcinoma in intrathoracic goiter is often anaplastic or rare and has a poor long-term survival rate when compared to cervical forms.

Key words Intrathoracic goiter Thyroid carcinoma Thoracotomy 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • M. Nervi
    • 1
  • P. Iacconi
    • 1
  • C. Spinelli
    • 1
  • A. Janni
    • 1
  • P. Miccoli
    • 1
  1. 1.Department of Endocrine Surgery, University of Pisa, Via Roma 67, I-56100 Pisa, ItalyIT

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