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A case of big substernal goiter resection

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Abstract

Substernal goiter is considered to be a diagnostic differential for all anterosuperior mediastinal masses. For a substernal goiter, surgical removal is suggested when it is large in size, with a possibility for malignancy 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 × 8 cm × 6 cm in size, and weighed 2.8 kg. The pathological 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.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, the Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, 521000, China

    Jiangping Song, Hongying Liao, Chao Yu, Jian Zhang, Yun Li & Lijia Gu

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  1. Jiangping Song
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  2. Hongying Liao
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  3. Chao Yu
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  4. Jian Zhang
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  5. Yun Li
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  6. Lijia Gu
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Correspondence to Lijia Gu.

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Song, J., Liao, H., Yu, C. et al. A case of big substernal goiter resection. Front. Med. China 2, 410–413 (2008). https://doi.org/10.1007/s11684-008-0079-x

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  • DOI: https://doi.org/10.1007/s11684-008-0079-x

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